Provider Demographics
NPI:1568509156
Name:KUFELDT, DENISE C (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:C
Last Name:KUFELDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9851 E EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5441
Mailing Address - Country:US
Mailing Address - Phone:305-235-1241
Mailing Address - Fax:
Practice Address - Street 1:9851 E EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-5441
Practice Address - Country:US
Practice Address - Phone:305-235-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88741Medicare ID - Type Unspecified