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Individual

DR. KENN ALLAN NIEBRUGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4170 TOWN CENTER BLVD, SUITE 100, ORLANDO, FL 32837-5873
(407) 857-6166
Mailing address
139 HOLDERRNESS DRIVE, LONGWOOD, FL 32779
(407) 682-5243
(407) 682-5243

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CH8610
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381757100
FL
Enumeration date
10/04/2006
Last updated
09/24/2008
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