MR. KENNETH MACK PERKINS (NPI# 1497860407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497860407 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MACK PERKINS |
| Credential | DC |
| Practice Address |
701 Old Montgomery Rd Conroe TX 77301 |
| Mailing Address |
Po Box 2705 Conroe TX 77305-2705 |
| Practice Telephone | 9365399299 |
| Practice Fax Number | 9365399298 |
| Mailing Telephone | 9365399299 |
| Mailing Fax Number | 9365399298 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2568 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 088350601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265528400 | Kenneth Tilman Perkins | Dentist | 6020 Ranch Dr Ste C6, Little Rock, AR 72223-4635 | 2006-10-05 |
| 1184018194 | Kenneth Perkins I | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2015-03-27 |
| 1427350529 | Kenneth B Perkins | Case Manager/Care Coordinator | 7074 Grove Rd, Brooksville, FL 34609-8658 | 2010-11-22 |
| 1164570230 | Kenneth Leon Perkins | Optometrist | 5407 Hixson Pike, Suite 121, Hixson, TN 37343-4559 | 2007-01-08 |
| 1366531204 | Kenneth B. Perkins | Physician Assistant | 36 Cherry Grove Road, Middlebrook, VA 24459 | 2006-10-11 |
| Street Address |
701 OLD MONTGOMERY RD |
| City | CONROE |
| State | TX |
| Zip Code | 77301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| 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 |
|---|---|---|---|---|
| 1588148266 | Chelsea Kay Gillam | Chiropractor | 9668 Bimms Dr, Conroe, TX 77385-7738 | 2018-09-19 |
| 1992208151 | Jill W Crocker | Chiropractor | 1336 League Line Rd Ste 200, Conroe, TX 77304-3457 | 2018-03-14 |
| 1417456377 | Martha Manzanarez | Chiropractor | 3303 W Davis St, Conroe, TX 77304-1862 | 2018-02-06 |
| 1871926006 | Chantelle Renee Kempinski | Chiropractor | 2253 N Loop 336 W Ste C, Conroe, TX 77304-3630 | 2013-08-12 |
| 1639420607 | Dana Mckirahan Dc Pa | Chiropractor | 1140 N Fm 3083 Rd W, Suite 700, Conroe, TX 77304-4566 | 2012-10-01 |
| 1326311887 | Kent A. Miller, P. C. | Chiropractor | 903 N Loop 336 W Ste C, Conroe, TX 77301-1161 | 2012-02-14 |
| 1841489614 | Accumed Medispa,llc | Chiropractor | 333 N Rivershire Dr Ste 290, Conroe, TX 77304-3100 | 2007-10-17 |
| 1528263605 | Cody Milton Ondracek | Chiropractor | 611 W Davis St, Conroe, TX 77301-2702 | 2007-06-18 |
| 1730308941 | Abdol Ghazi | Chiropractor | 3001 W Davis St, Conroe, TX 77304-2035 | 2007-04-25 |
| 1467576884 | Derek Abel Martin | Chiropractor | 13843 Hwy 105 West, Suite 105, Conroe, TX 77304 | 2007-03-19 |
| Find all providers in CONROE | ||||
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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.