Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH0005728 | FL |
NPI | 1194703322 |
---|---|
Provider Name | Dr. Kenneth Rolland Reinhart |
First Address | St Petersburg, FL 33704-2037 |
Second Address | St Petersburg, FL 33704-2037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 11/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T96187 | (02) |