KENNETH GLENN EDWARDS (NPI# 1811046543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811046543 |
| Entity Type | Individual |
| Full Name | KENNETH GLENN EDWARDS |
| Credential | D.C. |
| Practice Address |
1602 20th Ave Phenix City AL 36867-3714 |
| Practice Telephone | 3342972225 |
| Practice Fax Number | 3344809758 |
| Mailing Telephone | 3342972225 |
| Mailing Fax Number | 3344809758 |
| Enumeration Date | 2007-01-10 |
| 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 | 829 | AL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306383245 | Kenneth F Edwards | Counselor | 155 Montgomery St Ste 507, San Francisco, CA 94104-4110 | 2017-01-31 |
| 1679026074 | Kenneth Eugene Edwards | Occupational Therapist | 1020 Stonebridge Cir, Watkinsville, GA 30677-2077 | 2016-08-02 |
| 1780037234 | Kenneth Edwards | Physician Assistant | 1-38 Fa Battalion, Apo, AP 96224 | 2016-07-20 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1114066065 | Kenneth Lee Edwards | Podiatrist | 3461 Warrensville Center Road, 303, Shaker Heights, OH 44122-5227 | 2007-02-06 |
| 1982796793 | Kenneth Edwards | Social Worker | 500 Montauk Hwy Ste M, West Islip, NY 11795-4419 | 2006-09-29 |
| 1114471943 | Kenneth Edwards | Dentist | 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 | 2016-08-10 |
| 1528235579 | Kenneth J. Edwards | Counselor | 1960 Washington St, Boston, MA 02118-3219 | 2008-05-09 |
| 1275629685 | Kenneth T Edwards Jr. | Social Worker | 3430 Newburg Rd, Suite 212, Louisville, KY 40218-2497 | 2006-10-04 |
| 1205930682 | Kenneth George Edwards | Dentist | 109 Ponemah Rd, Suite A, Amherst, NH 03031-2834 | 2006-09-07 |
| Street Address |
1602 20TH AVE |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094619 | Kent Chiropractic Clinic | Chiropractor | 1602 20th Ave, Phenix City, AL 36867-3714 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| 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 |
|---|---|---|---|---|
| 1659461176 | Donald Eugene Stowe | Chiropractor | 2414 Crawford Rd, Phenix City, AL 36867-3628 | 2006-10-13 |
| 1053330340 | Phenix City Spine & Joint Ctr. | Chiropractor | 3700 S Railroad Street, Suite B, Phenix City, AL 36867 | 2006-07-18 |
| 1174094619 | Kent Chiropractic Clinic | Chiropractor | 1602 20th Ave, Phenix City, AL 36867-3714 | 2018-12-10 |
| 1659543841 | Stowe Chiropractic Clinic | Chiropractor | 2414 Crawford Rd, Phenix City, AL 36867-3628 | 2008-03-27 |
| 1699719732 | Stephen B Cooper | Chiropractor | 3700 S Railroad St, Suite B, Phenix City, AL 36867-2993 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1972113215 | Premier Chiropractic Center, LLC | Chiropractor | 5031 Ford Pkwy Ste 112, Bessemer, AL 35022-5286 | 2020-08-02 |
| 1205444502 | Claire Williamson Ussery | Chiropractor | 2717 John Hawkins Pkwy Ste 107, Hoover, AL 35244-4026 | 2020-07-22 |
| 1922626555 | Fountain City Chiropractic LLC | Chiropractor | 696 Silver Hills Dr Ste 116, Prattville, AL 36066-6184 | 2020-07-09 |
| 1013532134 | Rachel Leeanne Gilmore | Chiropractor | 5290 Old Springville Rd Ste C, Pinson, AL 35126-3632 | 2020-06-15 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1487276226 | Anthony Dabbs | Chiropractor | 460 Main St W, Rainsville, AL 35986-5955 | 2020-05-14 |
| 1437771813 | Crystal Wachtel | Chiropractor | 11280 A Hwy 31, Spanish Fort, AL 36527 | 2020-05-08 |
| 1811518913 | David Tyler Brown | Chiropractor | 2605 Old Fairway Rd Ste 100, Huntsville, AL 35806-6401 | 2020-04-29 |
| 1184251324 | Body Mind & Spine | Chiropractor | 960 Schillinger Rd S Ste D, Mobile, AL 36695-8977 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
Please comment or provide details below to improve the information on KENNETH GLENN EDWARDS.
| 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.