Provider Demographics
NPI:1366571028
Name:ALLARD, BRIAN KENNETH (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KENNETH
Last Name:ALLARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BRYAN DAIRY RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1437
Mailing Address - Country:US
Mailing Address - Phone:727-548-8100
Mailing Address - Fax:727-548-8112
Practice Address - Street 1:1283 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9261
Practice Address - Country:US
Practice Address - Phone:813-994-6111
Practice Address - Fax:813-991-5574
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0008185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor