KENNETH MICHAEL DUDLEY (NPI# 1124107529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124107529 |
| Entity Type | Individual |
| Full Name | KENNETH MICHAEL DUDLEY |
| Credential | D.C. |
| Practice Address |
1021 W Buchanan St Ste 17 California MO 65018-1238 |
| Practice Telephone | 5737968150 |
| Practice Fax Number | 5737968140 |
| Mailing Telephone | 5737968150 |
| Mailing Fax Number | 5737968140 |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006298 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 245812 | 01 |
| MO | AMERICAN CHIROPRACTIC NET | 610798 | 01 |
| MO | BLUECROSS BLUESHIELD | 31977 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760416010 | Kenneth Curtis Dudley | Psychologist | 1705 Main St, Suite 501, Baker City, OR 97814-3453 | 2006-07-11 |
| 1588911499 | Kenneth D Dudley | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2012-08-09 |
| 1952630485 | Kenneth Wayne Dudley | Rehabilitation Practitioner | 100 E Valley View Dr, Fullerton, CA 92832-1321 | 2009-12-11 |
| 1891727244 | Kenneth E Dudley | Family Medicine | 1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525 | 2006-07-07 |
| Street Address |
1021 W BUCHANAN ST STE 17 |
| City | CALIFORNIA |
| State | MO |
| Zip Code | 65018-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1114239092 | Jill Denise Smith Radkowiec | Optometrist | 202 E North Street, California, MO 65018 | 2010-07-08 |
| 1346269974 | Eric C Lange | Physical Therapist | 604 East Buchanan Street, California, MO 65018 | 2006-07-18 |
| 1639137003 | Jason R Hoffmeyer | Social Worker | 318 Oak St, California, MO 65018 | 2006-05-03 |
| 1376515783 | Richard O Watson | Internal Medicine | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1912384256 | You Turn Inc | Community/Behavioral Health | 318 S Oak, California, MO 65018 | 2015-05-06 |
| 1295707693 | Jan Finney | General Practice | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1285795740 | Moniteau County R-i School | Local Education Agency (LEA) | 211 S Owen St, Suite B, California, MO 65018-1115 | 2006-12-12 |
| 1730363789 | Trisha Lynn Meisenheimer | Physical Therapist | 101 S Owen St, California, MO 65018-1150 | 2007-12-27 |
| Find all providers in zip 65018 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740753268 | University Chiropractic and Myofascial Pain Center, LLC | Chiropractor | 346 3rd St, California, PA 15419-1162 | 2019-01-08 |
| 1528536406 | Alexandra Davidson | Chiropractor | 601 E Smith St, California, MO 65018-1838 | 2018-11-08 |
| 1376643098 | Jay M. Lipoff | Chiropractor | 23127 Three Notch Rd, Suite #205, California, MD 20619-2402 | 2006-09-23 |
| 1154425700 | Carroll Ross Huff | Chiropractor | 1116 S. Oak St, California, MO 65018-1462 | 2006-09-12 |
| 1003824228 | Lawrence G Smallwood | Chiropractor | 22930 Three Notch Rd, California, MD 20619-3138 | 2006-08-03 |
| 1144280512 | Randolph Aaron Magone | Chiropractor | University Chiropractic, 346 Third Street, California, PA 15419 | 2006-03-28 |
| 1437764487 | Kennedy Jean Volkart | Chiropractor | 1116 S Oak St, California, MO 65018-1400 | 2020-09-15 |
| 1710532973 | Hollon Family Chiropractic California, LLC | Chiropractor | 601 E Smith St, California, MO 65018-1838 | 2019-08-05 |
| 1225348303 | Back At Your Best Chiropractic & Physical Therapy | Chiropractor | 23415 Three Notch Rd, Suite 2045, California, MD 20619-4017 | 2010-10-07 |
| 1023167814 | Steven Robertson | Chiropractor | 100 3rd St, California, PA 15419-1130 | 2007-01-09 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 65018 |
Please comment or provide details below to improve the information on KENNETH MICHAEL DUDLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.