Individual
DR. CHRIS W MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5608 SE 113TH ST, SUITE A, BELLEVIEW, FL 34420-4038
(352) 245-8955
(352) 245-9156
Mailing address
5608 SE 113TH ST, SUITE A, BELLEVIEW, FL 34420-4038
(352) 245-8955
(352) 245-9156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70367
BCBS OF FLORIDA
FL
01
—
P00291511
MEDICARE RAILROAD
FL
Enumeration date
07/21/2006
Last updated
01/02/2014
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