Individual provider · Type 1 NPI
Tyler Kinnebrew, DC
Chiropractor · Titusville, FL
NPI number
1679254148
Active
Practice location
3243 Garden St
Titusville, FL 32796-3004
Mailing address
4023 E Orange Ave Unit B
Eustis, FL 32736-2241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH14630 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1679254148
Tyler Kinnebrew, DC's National Provider Identifier is 1679254148, issued on Jul 27, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Titusville, FL. The record was last updated on Jul 27, 2023.