Provider Demographics
NPI:1386711174
Name:KAROW, KENNETH GERARD (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:GERARD
Last Name:KAROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-4126
Mailing Address - Country:US
Mailing Address - Phone:561-684-1559
Mailing Address - Fax:561-684-1614
Practice Address - Street 1:768 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-684-1559
Practice Address - Fax:561-684-1614
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059570500Medicaid
T55031Medicare UPIN
FL70655Medicare ID - Type Unspecified