KEVIN W LOUDERBACK


Address: 918 Sunshine Dr, Mount Vernon, MO 65712-1735
Phone: 4173660044

KEVIN W LOUDERBACK (NPI# 1790982106) 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) 1790982106
Entity Type Individual
Full Name KEVIN W LOUDERBACK
Credential HHP MHT PSYD PHD
Practice Address 918 Sunshine Dr
Mount Vernon
MO 65712-1735
Practice Telephone 4173660044
Mailing Telephone 4173660044
Enumeration Date 2007-06-29
Last Update Date 2014-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
MO1 MO Behavioral Health & Social Service Providers
Y 175F00000X Naturopath Other Service Providers
N 175L00000X Homeopath Other Service Providers
N 175M00000X Midwife, Lay Other Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 918 SUNSHINE DR
City MOUNT VERNON
State MO
Zip Code 65712-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578978755 Oncare Family Medicine 918 Sunshine Dr, Mount Vernon, MO 65712-1735 2014-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063992527 Regional Services Nurse Practitioner 400 Mo-174, Mt Vernon, MO 65712 2018-08-15
1295044303 Jeffrey Paul Leclair Physician Assistant 1011 South East Street, Mt. Vernon, MO 65712 2010-10-07
1912174327 Three Rivers Hospice Inc Hospice Care, Community Based 631 N Spring Park Blvd, Mt Vernon, MO 65712 2008-05-14
1821274929 Hearing Crafters of America Inc Hearing Instrument Specialist 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 2008-01-18
1609957885 Mount Vernon Eyecare Associates, LLC Optometrist 104 S Hickory, Mount Vernon, MO 65712 2006-10-17
1982700423 Ronald E. Price Dentist 1050 Hayward Dr., Mt Vernon, MO 65712 2006-09-15
1144279829 Mary Elisabeth Aslin Speech-Language Pathologist 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 2006-05-09
1912986332 Robert Gordon Mcafee Psychiatry & Neurology 600 N Main, Mount Vernon, MO 65712 2006-01-13
1477856805 Eric Snow Physical Therapist 1600 S Hickory St, Mount Vernon, MO 65712 2010-12-07
1477567030 Ricky Lavaughn Kime Internal Medicine 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 2006-07-28
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Taxonomy Information

Taxonomy Code 175F00000X
Grouping Other Service Providers
Classification Naturopath

Taxonomy Definition

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467706671 Elisa L Minerich Naturopath 1202 S 2nd St, Suite D, Mount Vernon, WA 98273-4858 2012-11-09
1538684667 Lydia June Lasalle Naturopath 916 S 3rd St, Mount Vernon, WA 98273-4324 2017-08-09
1871809293 Maria Eckert Naturopath 303 Vera St, Mount Vernon, WA 98273-5251 2010-08-23
1235276353 Michelle Ann Antonich Naturopath 916 S 3rd St, Mount Vernon, WA 98273-4324 2007-01-30
1205987484 Kimberly Gilmore Naturopath 916 S 3rd St, Mount Vernon, WA 98273-4324 2007-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830033 Marlene D Coleman Naturopath 4940 Hurstborough Ct, Hazelwood, MO 63042-1592 2020-10-29
1982171674 Chiropractor Plus LLC Naturopath 1361 W Mount Vernon St, Nixa, MO 65714-7003 2018-10-31
1497222814 Dianna Richardson Naturopath 606 Dix Rd, Jefferson City, MO 65109-4724 2018-10-24
1144766080 Megan Little Naturopath 12817 Crystal Ave, Grandview, MO 64030 2017-01-17
1104255843 Annex Luberisse Naturopath 1674 S Odell Ave # B, Marshall, MO 65340-3365 2013-11-04
1912349374 Mary Beth Duryea Naturopath 4130 Ne Hampstead Dr, Lees Summit, MO 64064-1619 2013-07-25
1346545704 Stephen Edward Waters Naturopath 4200 Se Saddlebrook Cir, Lees Summit, MO 64082-4944 2011-01-17
1104052034 Daphane Angela Simora Naturopath 836 Brown St, Herculaneum, MO 63048 2009-06-05
1164629036 Jody Krukowski Naturopath 1810 Summit St # 101, Kansas City, MO 64108-2109 2007-07-02
1306062062 Matthew Brian Cowan Naturopath 2024 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5921 2007-04-18
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Competitor

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City MOUNT VERNON
Zip Code 65712

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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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