Provider Demographics
NPI:1194841437
Name:FRENCH, KENNETH GERARD (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:GERARD
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5695 NAPLES BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2023
Mailing Address - Country:US
Mailing Address - Phone:239-598-2244
Mailing Address - Fax:239-598-5035
Practice Address - Street 1:5695 NAPLES BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2023
Practice Address - Country:US
Practice Address - Phone:239-598-2244
Practice Address - Fax:239-598-5035
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU71021Medicare UPIN
FL55686Medicare ID - Type Unspecified