KENNETH P DRUDE


Address: 1130 Vester Ave, Suite C, Springfield, OH 45503-7302
Phone: 9373903800

KENNETH P DRUDE (NPI# 1518055474) 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) 1518055474
Entity Type Individual
Full Name KENNETH P DRUDE
Credential PH.D.
Practice Address 1130 Vester Ave
Suite C
Springfield
OH 45503-7302
Practice Telephone 9373903800
Practice Fax Number 9373903804
Mailing Telephone 9373903800
Mailing Fax Number 9373903804
Enumeration Date 2006-10-10
Last Update Date 2007-10-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1437 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0254577 05

Office Location

Street Address 1130 VESTER AVE
SUITE C
City SPRINGFIELD
State OH
Zip Code 45503-7302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902993884 Kathleen O Galarza Psychologist 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-10-10
1225353758 Rachel Jayne Shay Counselor 1130 Vester Ave, Springfield, OH 45503-7302 2010-03-27
1346406261 Kara Michelle Schlegel Psychologist 1130 Vester Ave, Ste. C, Springfield, OH 45503-7302 2008-07-30
1104009166 Marjorie Ann Bagwell Kukor Psychologist 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2007-12-13
1467595215 Pamela E Meermans Social Worker 1130 Vester Ave, Springfield, OH 45503-7302 2007-02-14
1821152331 Beth Ellen Salzwedel Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-12-20
1114086147 Debra Ann Zendlovitz Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-12-06
1134200090 Marolyn Whaley-buckel Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-10-18
1518056852 Paul E. Frederick Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-10-12
1003903048 Barbara G Bernstein Social Worker 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 2006-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093182727 Future Plan LLC Dba Home Instead Senior Care In Home Supportive Care 333 Mt Vernon Ave, Springfield, OH 45503 2015-08-28
1740665280 Paulette Thomas Occupational Therapy Assistant 722 Patrick Road, Springfield, OH 45503 2015-07-27
1912391400 Nanditha Alamelu Ranganathan Student in an Organized Health Care Education/Training Program 2655 Ballydoyle Dr., Springfield, OH 45503 2015-03-24
1598102568 Careplus Home Healthcare Registered Nurse 802 N. Limestone St, Spfld, OH 45503 2013-05-30
1407120033 Janice Louise Foster Home Health Aide 3131 Erter Drive, Springfield, OH 45503 2012-02-29
1306123112 David P. Comer Physician Assistant 2600 N Limestone St Fl 2, Springfield, OH 45503 2011-11-08
1689953564 Family Dental Care Dentist 1240 E. Main St, Springfield, OH 45503 2011-08-10
1942539317 Latonia Marie Montgomery Licensed Vocational Nurse 2350 North Limestone #10, Springfield, OH 45503 2009-12-15
1518139385 Springfield Eye Group LLC Optometrist 1674 North Limestone St, Springfield, OH 45503 2008-04-01
1457543951 Kara Nicole Miller Physician Assistant 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 2007-08-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1194359216 Kathrin A Koehler Psychologist 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 2020-02-27
1689126120 Assessment Consultants, LLC Psychologist 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 2016-11-01
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1669929907 Richart Lipe Demier Psychologist 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 2016-09-03
1043660905 Safe Harbor Christian Counseling of Northern Virginia LLC Psychologist 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 2016-06-21
1659786432 Kimberly Wilkins Psyd LLC Psychologist 1344 W Oakville Rd, Springfield, MO 65810-1696 2014-06-30
1548507817 Bahn and Associates Psychologist 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 2013-01-07
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Competitor

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City SPRINGFIELD
Zip Code 45503

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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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