Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1508965641 Deactivated / Inactive NPI Male Practitioner

Dr. Kim Allen Reddick , DC

Chiropractor • Orange City, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kim Reddick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date June 09, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kim Reddick, DC was a registered Chiropractor practicing in Orange City, FL. Throughout an active medical career spanning 14 years, Dr. Reddick provided care at the practice location at 2415 S VOLUSIA AVE STE A2 until profile deactivation on 2020-06-09.

Practice Location & Contact Primary Location

Practice Address

2415 S Volusia Ave Ste A2

Orange City, FL 327637623

Telephone 3867756879
Fax 3867750307
Associated Practice Facility / Clinic
🏢 Kim A. Reddick, Dc, Llc Facility NPI 1841382561

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Orange City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Orange City, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH4492

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1194822635

Doctor of Medicine (M.D.)

Andrew Bonneau

Chiropractor

NPI 1609408988
Deanna Cline , LMT

Massage Therapist

NPI 1750444352

Licensed Massage Therapist

NPI 1760743702

Licensed Massage Therapist

NPI 1851729388

Doctor of Chiropractic

Milagros Mesa , LMT

Massage Therapist

NPI 1962565564

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 09, 2020

Record deactivated on June 09, 2020

NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2012

Registered at 2415 S VOLUSIA AVE STE A2, ORANGE CITY, FL 327637623 (Tel: 3867756879)

📍
Updated Business Mailing Address September 12, 2012

Registered at 2415 S VOLUSIA AVE STE A2, ORANGE CITY, FL 327637623 (Tel: 3867756879)

👤
Provider Name / Credentials Updated September 12, 2012

Recorded as KIM REDDICK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Chiropractor (License #CH4492 in FL)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kim Reddick. Be the first to share your experience!

Sign in to leave a review for Dr. Kim Reddick

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508965641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: September 12, 2012
Deactivation Date: June 09, 2020

Mailing Address

2415 S Volusia Ave Ste A2

Orange City, FL 327637623

Phone: 3867756879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.