Provider Type Icon

KENNETH D. GILMOREDCPA NPI 1619150901


NPI Information

NPI: 1619150901
Provider Name: KENNETH D. GILMORE,DC,PA

Doing Business As: GILMORE CHIROPRACTIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
800 VIRGINIA AVE STE 45
FORT PIERCE, FL
ZIP 34982
Phone: (772) 466-9575
Get Directions

KENNETH D. GILMORE,DC,PA is a sports physician chiropractor in Fort Pierce, FL. The provider is 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) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. KENNETH D. GILMORE,DC,PA NPI is 1619150901. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gilmore Chiropractic.

The provider's business location address is:

800 VIRGINIA AVE STE 45
FORT PIERCE, FL
ZIP 34982-893
Phone: (772) 466-9575
Fax: (772) 466-9475

The provider's authorized official is Kenneth D Gilmore .
The authorized official title is Owner/president and has the following contact phone number (772) 466-9575.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 7/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianCH6101FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K4914MEDICARE PIN
222467OTHERBCBSFL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.