DR. KEVIN G WYNNE D.C.
NPI 1710970686
Chiropractor in Lake Mary, FL

Active since August 25, 2005
365 WAYMONT CT, SUITE 101, LAKE MARY, FL 32746(407) 321-9191(407) 321-9899 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin G Wynne D.c. NPPES

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

DR. KEVIN G WYNNE D.C. (NPI 1710970686) is an individual chiropractor in Lake Mary, Florida, licensed in Florida (CH7382) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1710970686
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN G WYNNECredential: D.C.
Location Address365 WAYMONT CT, SUITE 101Lake Mary, FL 32746-3552
Mailing Address365 Waymont Ct, Suite 101Lake Mary, FL 32746-3552 · (407) 321-9191 · Fax (407) 321-9899
Fax(407) 321-9899
Sole ProprietorYes
Enumeration DateAugust 25, 2005
Last NPPES UpdateOctober 7, 2011
NPI 1710970686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH7382
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.
365 WAYMONT CT, Lake Mary, FL 32746

Other Identifiers 4

Medicare ID-Type Unspecified55683FL
Other55683FL · Bcbs
Medicaid381358400FL
Medicare UPINU74021FL

Other Providers at the Same Location NPPES 2

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

Chiropractor
365 WAYMONT CT, SUITE 101
LAKE MARY, FL 32746
Chiropractor
365 WAYMONT CT, SUITE 101
LAKE MARY, FL 32746

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 Wynne's NPI number?

The NPI number for Kevin Wynne is 1710970686. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Kevin Wynne located?

Kevin Wynne practices at 365 Waymont Ct Suite 101, Lake Mary, FL 32746. The listed phone number is (407) 321-9191.

What is Kevin Wynne'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 Wynne was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.