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Tyler Kinnebrew, DC

Chiropractor in Titusville, FL. Individual provider (NPI-1).

NPI number1679254148
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1679254148
Entity type
Individual (NPI-1)
Name
Tyler Kinnebrew
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2023
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH14630FLYes

Practice location

3243 Garden St
Titusville, FL 32796-3004

Phone 877-981-1037

Mailing address

4023 E Orange Ave Unit B
Eustis, FL 32736-2241

Phone 850-797-7916

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Titusville, FL

All 24 Chiropractor providers in Titusville · All 1,166 providers in Titusville

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