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Organization
KEVIN USRY DC LLC
Active
Organization
KEVIN USRY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN USRY DC (OWNER)
(561) 863-8779
Entity
Organization
Contact information
Practice address
1541 PROSPERITY FARMS RD, LAKE PARK, FL 33403-2025
(561) 863-8779
Mailing address
1541 PROSPERITY FARMS RD, LAKE PARK, FL 33403-2025
(561) 863-8779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FL5055
LICENSE NUMBER
FL
Enumeration date
09/01/2020
Last updated
10/16/2020
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