Provider Demographics
NPI:1194324863
Name:REAL HEALTH SOLUTIONS 2
Entity type:Organization
Organization Name:REAL HEALTH SOLUTIONS 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KILGORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-445-7055
Mailing Address - Street 1:4650 JOHNSTON RD
Mailing Address - Street 2:
Mailing Address - City:ZOLFO SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33890-2799
Mailing Address - Country:US
Mailing Address - Phone:678-445-7055
Mailing Address - Fax:
Practice Address - Street 1:109 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-2819
Practice Address - Country:US
Practice Address - Phone:678-445-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service