Provider Demographics
NPI:1013651744
Name:SANCHEZ, KYNA RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:KYNA
Middle Name:RENEE
Last Name:SANCHEZ
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 1:803 BANBURY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3752
Mailing Address - Country:US
Mailing Address - Phone:315-593-4655
Mailing Address - Fax:
Practice Address - Street 1:803 BANBURY DR
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-3752
Practice Address - Country:US
Practice Address - Phone:315-593-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor