Provider Demographics
NPI:1891850830
Name:KERWIN, FRANCIS L II (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:L
Last Name:KERWIN
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:F.
Other - Middle Name:LEO
Other - Last Name:KERWIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:6811 N ATLANTIC AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAPE CANAVERAL
Mailing Address - State:FL
Mailing Address - Zip Code:32920-3885
Mailing Address - Country:US
Mailing Address - Phone:321-783-0377
Mailing Address - Fax:321-783-0378
Practice Address - Street 1:6811 N ATLANTIC AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CAPE CANAVERAL
Practice Address - State:FL
Practice Address - Zip Code:32920-3885
Practice Address - Country:US
Practice Address - Phone:321-783-0377
Practice Address - Fax:321-783-0378
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 1189111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0895547Medicare UPIN
FL89284Medicare ID - Type Unspecified