Tyler Kinnebrew, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14630 Issued in FL

Practice address

3243 Garden St
Titusville, FL 32796-3004

Phone

(877) 981-1037

NPI assigned

Jul 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tyler.kinnebrew@cccl.eclinicaldirectplus.com

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1679254148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 E ORANGE AVE UNIT B",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362241",
            "telephone_number": "850-797-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963004",
            "telephone_number": "877-981-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEBREW",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omid Khezri, DDS
• Danielle Alicia Kilkenny, M.ED., B.S.
• Katrina Killian
• Doris Kimble
• Kathryn Kincannon, COTA/L
• Kiran R. Modi, M.D., P.a.
• Dianne Knight, M.D.
• Fred Kodesch, M.D.
• Linda M Kodesch, M.D.
• Sarah Elizabeth Koehnemann, O.D

• Chiropractor in Titusville, FL
• Providers in Titusville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.