Kersenbrock Chiropractic, Llc | |
3525 W Lake Mary Blvd, Lake Mary, FL 32746-3473 | |
(407) 732-6920 | |
(407) 732-6923 |
Full Name | Kersenbrock Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3525 W Lake Mary Blvd, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225399330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH10363 (Florida) | Primary |
Provider Name | Benjamin D Kersenbrock |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154609345 PECOS PAC ID: 1759531569 Enrollment ID: I20121031000631 |
Mailing Address | Practice Location Address |
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Kersenbrock Chiropractic, Llc 3525 W Lake Mary Blvd, Lake Mary, FL 32746-3473 Ph: (407) 732-6920 | Kersenbrock Chiropractic, Llc 3525 W Lake Mary Blvd, Lake Mary, FL 32746-3473 Ph: (407) 732-6920 |
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