Provider Demographics
NPI:1922044692
Name:STROHMAN, KEVIN L (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:L
Last Name:STROHMAN
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 1:1260 N PONCE DE LEON BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-3117
Mailing Address - Country:US
Mailing Address - Phone:904-323-1850
Mailing Address - Fax:
Practice Address - Street 1:1260 N PONCE DE LEON BLVD STE E
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-3117
Practice Address - Country:US
Practice Address - Phone:904-323-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor