Mr. Richard Kim Etheredge
DC | Chiropractor | 38+ years Exp
Medicare Enrolled
3261 Us Highway 441/27, Fruitland Park
Florida, 34731-4497
352-365-1191 352-365-0330
Maps & Directions is a Fruitland Park, Florida based chiropractor with
38 years of experience in
General Chiropractic. He completed his graduation from
Palmer College Chiropractic - Davenport in 1987. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Richard Kim Etheredge as General Chiropractic is
CH5758 in Florida.
Mr. Richard Kim Etheredge is qualified as 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.
Complete Profile:
Mr. Richard Kim Etheredge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | DC |
| Experience: | 38+ years |
| Medical School Attended: | Palmer College Chiropractic - Davenport |
| Graduation Year: | 1987 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3261 Us Highway 441/27, Fruitland Park,
Florida, 34731-4497 |
| Phone: | 352-365-1191 |
| Fax: | 352-365-0330 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3476524505 |
| Enrollment ID: | I20120222000512 |
| NPI Number: | 1780795294 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 16 Feb, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Richard Kim Etheredge are as mentioned below.
| License Number | Specialization | State | Status | |
| CH5758 | Chiropractor | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Richard Kim Etheredge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 22261 | Other | Florida | BC |
| 380121700 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3261 Us Highway 27/441,
Fruitland Park, Florida |
| Zip: | 34731-4497 |
| Phone Number: | 352-365-1191 |
| Fax Number: | 352-365-0330 |
Patients can reach Mr. Richard Kim Etheredge at
3261 Us Highway 441/27, Fruitland Park, Florida or can
call to book an appointment on 352-365-1191.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.