NPI 1043382559

Kenneth T Licciardi, DC

Practitioner Chiropractor Gainesville, FL

Practice location

Address: 810 NW 6th St, Gainesville, FL 32601-4253
Phone: (352) 378-7888
Fax: (352) 378-4130

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH0003103 (FL)

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Registry record

NPI: 1043382559
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2006
Record last updated: 8 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.