Provider Demographics
NPI:1386740223
Name:HOFFMAN, KEVIN L (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 W GALA LN
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34433-2127
Mailing Address - Country:US
Mailing Address - Phone:352-697-1540
Mailing Address - Fax:
Practice Address - Street 1:912 NE 5TH ST
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4444
Practice Address - Country:US
Practice Address - Phone:352-563-5055
Practice Address - Fax:352-563-5069
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI488Medicare PIN