Kersenbrock Medical and Wellness, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KERSENBROCK MEDICAL AND WELLNESS, LLC

Practice address

760 Currency Cir Ste a
Lake Mary, FL 32746-2138

Phone

(407) 732-6920

Fax

(407) 732-6923

NPI assigned

Jun 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin Dale Kersenbrock

Title

Owner

Phone

(407) 732-6920

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devin Smalls, DC

  • Chiropractor
  • Lake Mary, FL
  • NPI 1528797719
  NPD
• Lammi Joyeux Lambert, AP

  • Acupuncturist
  • Lake Mary, FL
  • NPI 1508018250
  NPD (past)
• Mendi Taylor Nixon, ARNP

  • Primary Care Nurse Practitioner
  • Orlando, FL
  • NPI 1003302589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1154816510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CURRENCY CIR STE A",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462138",
            "telephone_number": "407-732-6920",
            "fax_number": "407-732-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CURRENCY CIR STE A",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462138",
            "telephone_number": "407-732-6920",
            "fax_number": "407-732-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSENBROCK MEDICAL AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "KERSENBROCK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-732-6920"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kenny
• Sarah Kerbel, OTR/L
• Phillip Charles Kern
• Scott A Kern, LMHC
• Kersenbrock Chiropractic, LLC
• Benjamin Kersenbrock, D.C.
• Eli Thomas Kessinger
• Aunali S Khaku, M.D.
• Mahmoud S Khalifa, MD
• Elaria Khalil, PT, DPT

• General Practice Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.