Home » Florida » 34453 » Jeffery Shane Kinnard

Jeffery Shane Kinnard (D.C.)

Jeffery Shane Kinnard (D.C.) is a health care provider specializes in Chiropractor. He is associated with medical group practice LIFE MEDICAL CENTER OF LECANTO,INC.

profile-icon Basic Information

Practice Location 2611 Highway 44 W, Inverness, FL 34453-3725, US
Practice Location Phone352-726-0554
Practice Location Fax352-728-3885
GenderMale
Specialty InChiropractor
Medical SchoolPalmer College Chiropractic - Davenport
Graduation Year1993
NPI ?1548282965
PECOS ID3476450685
Enrollment IDI20090514000024
Entity TypeIndividual
Enumeration Date ? Jul 24, 2006
Last Update Date ? Sep 6, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Jeffery Shane Kinnard

SpecialtySpecializationLicenseLicense State
Chiropractor CH0006693Florida

Medicare-icon Medicare Participation of Jeffery Shane Kinnard

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health RecordsYes
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Jeffery Shane Kinnard

Medical Group PracticeLife Medical Center Of Lecanto,inc

legacy-id-icon Legacy Provider IDs of Jeffery Shane Kinnard

Provider IdIssuer StateIssuer TypeIssuer
350043240FloridaOtherMEDICARE R.R.
U51777FloridaOtherUPIN
225845FloridaOtherHEALTHEASE
55185FloridaOtherBLUE CROSS/BLUE SHIELD
593483676FloridaOtherTAX-ID
225845FloridaOtherCHIRO ALLIANCE CORP.
380499200FloridaMedicaid
5503335FloridaOtherGHI