Trussell, Kenneth Wayne

Trussell, Kenneth Wayne is an individual health care provider with primary practice located at 113 W Robertson St , Brandon FL 33511-5111. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Trussell, Kenneth Wayne can be contacted via phone (813) 685-4222.

Contact Information

Primary practice address
113 W Robertson St Brandon FL 33511-5111
Phone: (813) 685-4222
Fax: (813) 689-3832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH006246 Florida

Profile Details

NPI number 1932161205
LBN Legal business name Trussell, Kenneth Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932161205 NPPES
Florida MEDICAID 380122500

Popular Providers