Healthcare Provider Details

I. General information

NPI: 1386740223
Provider Name (Legal Business Name): KEVIN L HOFFMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 NE 5TH ST
CRYSTAL RIVER FL
34429-4444
US

IV. Provider business mailing address

5219 W GALA LN
DUNNELLON FL
34433-2127
US

V. Phone/Fax

Practice location:
  • Phone: 352-563-5055
  • Fax: 352-563-5069
Mailing address:
  • Phone: 352-697-1540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8594
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: