KENNETH BRADSHAW (NPI# 1134197924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134197924 |
Entity Type | Individual |
Full Name | KENNETH BRADSHAW |
Credential | D.P.M. |
Practice Address |
1602 N 2nd St Clinton MO 64735-1192 |
Practice Telephone | 6608858171 |
Practice Fax Number | 6608908485 |
Mailing Telephone | 6608858171 |
Mailing Fax Number | 6608908485 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2009-12-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000385 | MO | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225157977 | Kenneth Wayne Bradshaw | Dentist | 11211 Prosperity Farms Rd, B107, Palm Beach Gardens, FL 33410-3446 | 2007-03-27 |
1932182615 | Kenneth Gerard Bradshaw | Family Medicine | 19 Friendship St, Family Physicians of Newport, Suite 130, Newport, RI 02840-2272 | 2005-11-27 |
Street Address |
1602 N 2ND ST |
City | CLINTON |
State | MO |
Zip Code | 64735-1192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841288834 | Candice J. Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2005-10-12 |
1760967533 | Heather Dains | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-09-27 |
1356820179 | Brenda Gale Messer | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-08-13 |
1043705080 | Taylor Marie Lincoln | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-06-22 |
1144767302 | Melondy Ann Bowland | Social Worker | 1602 N 2nd St, Clinton, MO 64735-1192 | 2017-01-26 |
1538605001 | Angela Heck | Social Worker | 1602 N 2nd St, Clinton, MO 64735 | 2017-01-09 |
1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
1811357411 | Luke Schumacher | Physician Assistant | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-02-25 |
1528443264 | Renee Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-07-23 |
1861875684 | Golden Valley Memorial Hospital | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
Find all providers in zip 64735 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
1740591726 | Advanced Podiatry, Inc. | Podiatrist | 1320 11th St Nw Ste F, Clinton, IA 52732-5069 | 2010-06-24 |
1073782462 | Woodward Foot Clinic Pllc | Podiatrist | 812 Frisco Ave, Clinton, OK 73601-3323 | 2008-02-29 |
1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
1083726723 | Brian Phillip Bach | Podiatrist | 9015 Woodyard, #211, Clinton, MD 20735 | 2006-08-31 |
1497864698 | Stefanie Monique Thomas | Podiatrist | 705 Hwy 80 West, Clinton, MS 39056 | 2006-08-30 |
1922032028 | Kenneth Farrish | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2006-07-11 |
1285634469 | Bradley D Nelson | Podiatrist | 207 S 30th Street, Clinton, OK 73601 | 2005-07-28 |
1073512448 | Steven E Craig | Podiatrist | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2005-07-19 |
1710982327 | Andrew Mark Berliner | Podiatrist | 246 E Main St, Suite 2, Clinton, CT 06413-2245 | 2005-06-20 |
Find all providers in CLINTON |
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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.