1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Chiropractor
  6. NPI Profile

DR. KEVIN JOHN DETERMAN B.S.,D.C.,F.A.S.A.
NPI 1306883566
Chiropractor in Jacksonville, FL

Active since May 31, 2006
11512 LAKE MEAD AVE, SUITE 605, JACKSONVILLE, FL 32256(904) 900-1477 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin John Determan B.s.,d.c.,f.a.s.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN JOHN DETERMAN B.S.,D.C.,F.A.S.A. (NPI 1306883566) is an individual chiropractor in Jacksonville, Florida, licensed in South Dakota (682) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1306883566
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN JOHN DETERMANCredential: B.S.,D.C.,F.A.S.A.
Location Address11512 LAKE MEAD AVE, SUITE 605Jacksonville, FL 32256-9680
Mailing Address11512 Lake Mead Ave, Suite 605Jacksonville, FL 32256-9680 · (904) 900-1477
Phone(904) 900-1477
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 11, 2015
✔ NPI 1306883566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · 682
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11512 LAKE MEAD AVE, Jacksonville, FL 32256
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA PARADISO DILMUTH ARNP
Nurse Practitioner (Adult Health)
11512 LAKE MEAD AVE, 513
JACKSONVILLE, FL 32256
Duval County (904) 402-8346
DR. TANYA E HUNTER MD
Family Medicine
11512 LAKE MEAD AVE, SUITE 521
JACKSONVILLE, FL 32256
Duval County (904) 807-9747
MRS. ELIZABETH JANE O'GRADY MS CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
MICHELLE KLINDTWORTH CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
JULIANN ABECASSIS
Acupuncturist
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477
JAMES E HARDY MD PLASTIC SURGERY LLC
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 996-0600
MELISSA AMERSON S.L.P.
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
CATHY L GOLDSTEIN AP
Acupuncturist
11512 LAKE MEAD AVE, # 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Determan's NPI number?

The NPI number for Kevin Determan is 1306883566. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Kevin Determan located?

Kevin Determan practices at 11512 Lake Mead Ave Suite 605, Jacksonville, FL 32256. The listed phone number is (904) 900-1477.

What is Kevin Determan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kevin Determan was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.