Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Wallace, DC

Individual provider Chiropractor · NPI 1952706673

Dr. Kenneth Wallace, DC is a Chiropractic in Titusville, Florida. Qualified in 2006, 20 years ago. Practices with Wellspring Health - Orange City, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2014
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

119 S Park Ave
Titusville, FL 32796-3377
Phone: (321) 226-1115
Fax: (321) 251-6091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH 11302 (FL)

Record details

NPI number1952706673
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014
Mailing address119 S Park Ave, Titusville, FL 32796-3377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wellspring Health - Orange City, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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