Individual
MRS. KENNA LAINE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP, DOM
Contact information
Practice address
1340 TUSKAWILLA RD STE 111, WINTER SPRINGS, FL 32708-5030
(407) 782-1934
Mailing address
2939 WILLOW BAY TER, CASSELBERRY, FL 32707-6735
(407) 782-1934
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102471100
—
FL
Enumeration date
06/13/2006
Last updated
08/14/2020
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