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

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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