Kenneth W Trussell DC PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

6246 Issued in FL

Legal business name

KENNETH W TRUSSELL DC PA

Practice address

113 W Robertson St
Brandon, FL 33511-5111

Phone

(813) 685-4222

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth W Trussell, DCNPI 1932161205

Title

President/Owner

Phone

(813) 685-4222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Kenneth Wayne Trussell, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1932161205

  FL

  Medicare reassignment NPD Authorized official
• Crystal Cothern, LMT

  • Massage Therapist
  • Brandon, FL
  • NPI 1730355264
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1972812865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115111",
            "telephone_number": "813-685-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115111",
            "telephone_number": "813-685-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W TRUSSELL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "TRUSSELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "813-685-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "6246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kennedy
• Daniel Kennedy, RBT
• Jonaye Kennedy
• Lorraine Hoyos Kennedy, MD
• Monica S Kennedy, O.D.
• Kaitlyn Kenny
• Kent M. Sieboldt, OD, PA
• Jennifer Hummer Keovongsa, L.M.H.C.
• Dale L Keppley
• Lori Kerrigan, LMHCI

• All providers in Brandon, FL
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.