Provider Demographics
NPI:1750440772
Name:CAZEAU, KENEL (DC)
Entity type:Individual
Prefix:
First Name:KENEL
Middle Name:
Last Name:CAZEAU
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 1:800 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311-0916
Mailing Address - Country:US
Mailing Address - Phone:954-564-2272
Mailing Address - Fax:954-564-2256
Practice Address - Street 1:800 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-0916
Practice Address - Country:US
Practice Address - Phone:954-564-2272
Practice Address - Fax:954-564-2256
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor