Kenneth Davis Whidden in Destin - Sports Physician
Kenneth Davis Whidden - NPI 1700876729
Kenneth Davis Whidden is a Sports Physician in Destin, Florida. Kenneth Davis Whidden practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kenneth Davis Whidden is 1700876729. The last update date is 2011-01-15.
Kenneth Davis Whidden's current location address is 501 Harbor Blvd, Destin, Florida. You can contact this provider via phone number 8506541850 and fax number 8506549994. The mailing address for Kenneth Davis Whidden is 501 Harbor Blvd, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Davis Whidden |
|---|---|
| Address | 501 Harbor Blvd, Destin, Florida |
| Phone Number | 8506541850 |
| Fax Number | 8506549994 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1700876729 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2011-01-15 |
Provider Mailing Address Detail
| Address | 501 Harbor Blvd |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325412348 |
| Phone Number | 8506541850 |
| Fax Number | 8506549994 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH8151 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 381569200 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Davis Whidden?
The Kenneth Davis Whidden has been issued the NPI (National Provider Identifier) 1700876729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Davis Whidden?
The Kenneth Davis Whidden is situated at 501 Harbor Blvd, in the city of Destin, state of FL, with the zip code 325412348.
What is Kenneth Davis Whidden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Davis Whidden's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700876729 to Kenneth Davis Whidden?
The Centers for Medicare & Medicaid Services originally issued the 1700876729 to Kenneth Davis Whidden on 2005-10-21.
When was the information regarding Kenneth Davis Whidden most recently updated?
The details pertaining to the Kenneth Davis Whidden, including its address, specialty, and other relevant information, were last refreshed on 2011-01-15.