| Healthsource Of Stuart | |
|
4401 Se Federal Hwy, Suite 104, Stuart, FL 34997-5760 | |
| (772) 286-1720 | |
| (772) 286-7141 |
| Full Name | Healthsource Of Stuart |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4401 Se Federal Hwy, Stuart, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659713402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Alyssa Kenyon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942538525 PECOS PAC ID: 0244417426 Enrollment ID: I20110819000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Stuart 4401 Se Federal Hwy, Suite 104, Stuart, FL 34997-5760 Ph: (772) 286-1720 | Healthsource Of Stuart 4401 Se Federal Hwy, Suite 104, Stuart, FL 34997-5760 Ph: (772) 286-1720 |
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