Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952706673 Individual Practitioner Male Practitioner

Dr. Kenneth Wallace , DC

Chiropractor • Titusville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wallace, DC is a certified Chiropractor practicing in Titusville, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Wallace delivers high-quality medical care to the local community at 119 S PARK AVE.

Dr. Wallace is affiliated with Wellspring Health - Orange City, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

119 S Park Ave

Titusville, FL 327963377

Telephone 3212261115
Fax 3212516091
Associated Practice Facility / Clinic
🏢 Miguel A Medina Md Pa Facility NPI 1053584011

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Titusville, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs -0.1 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Titusville, 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

Clinical Seniority & Experience Comparison

Dr. Wallace (20 Years) 20 Yrs
Titusville Specialty Average (20.1 Years) 20.1 Yrs

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH 11302

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.

Hospital & Practice Group Affiliations

Wellspring Health - Orange City, Llc

2415 S Volusia Ave, Orange City, FL 327637623

Phone: 3867756879

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1750605226

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 119 S PARK AVE, TITUSVILLE, FL 327963377 (Tel: 3212261115)

📍
Updated Business Mailing Address October 23, 2014

Registered at 119 S PARK AVE, TITUSVILLE, FL 327963377 (Tel: 3212261115)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as KENNETH WALLACE, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Chiropractor (License #CH 11302 in FL)

🟢
Initial NPI Registration & Enumeration October 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952706673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2014
Last Update: October 23, 2014
Sole Proprietor: Yes

Mailing Address

119 S Park Ave

Titusville, FL 327963377

Phone: 3212261115

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.