KENNETH BRADSHAW


Address: 1602 N 2nd St, Clinton, MO 64735-1192
Phone: 6608858171

KENNETH BRADSHAW (NPI# 1134197924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 000385 MO Podiatric Medicine & Surgery Service Providers

Other Providers KENNETH BRADSHAW

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

Office Location

Street Address 1602 N 2ND ST
City CLINTON
State MO
Zip Code 64735-1192

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CLINTON
Zip Code 64735

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Dataset Information

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.

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