Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND | TN |
NPI | 1043498934 |
---|---|
Provider Name | Dr. Kendall Bruce Eckert |
First Address | Largo, FL 33771-1616 |
Second Address | Largo, FL 33771-1616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 21/05/2012 |