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NPI Code Detail

MEDICARE: KIRSTEN NICHOLE SELBY D.C.

MEDICARE:   KIRSTEN NICHOLE SELBY  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH14697FL

General Provider Information

NPI Number : 1346021383
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN NICHOLE SELBY D.C.
Provider Business Mailing Address
First Line : 3510 S NOVA RD STE 111
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-3796
Country : US
Telephone Number : 386-947-7185
Fax Number :
Provider Business Practice Location Address
First Line : 3510 S NOVA RD STE 111
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-3796
Country : US
Telephone Number : 386-947-7185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2023
Last Update Date : 12/27/2025

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Directions to “ KIRSTEN NICHOLE SELBY D.C.” Practice Location

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