MR. KENNETH WAYNE DUDLEY


Address: 100 E Valley View Dr, Fullerton, CA 92832-1321
Phone: 7146808257

MR. KENNETH WAYNE DUDLEY (NPI# 1952630485) 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) 1952630485
Entity Type Individual
Full Name MR. KENNETH WAYNE DUDLEY
Practice Address 100 E Valley View Dr
Fullerton
CA 92832-1321
Practice Telephone 7146808257
Practice Fax Number 7146808207
Mailing Telephone 7146808257
Mailing Fax Number 7146808207
Enumeration Date 2009-12-11
Last Update Date 2009-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KENNETH DUDLEY

NPI Name Taxonomy Address Enumeration
1124107529 Kenneth Michael Dudley Chiropractor 1021 W Buchanan St Ste 17, California, MO 65018-1238 2006-11-04
1760416010 Kenneth Curtis Dudley Psychologist 1705 Main St, Suite 501, Baker City, OR 97814-3453 2006-07-11
1588911499 Kenneth D Dudley Counselor 2420 E 25th St, Idaho Falls, ID 83404-7549 2012-08-09
1891727244 Kenneth E Dudley Family Medicine 1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525 2006-07-07

Office Location

Street Address 100 E VALLEY VIEW DR
City FULLERTON
State CA
Zip Code 92832-1321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306916234 Kristen Lynne Sifers Marriage & Family Therapist 100 E Valley View Dr, Fullerton, CA 92832-1321 2006-11-08
1821531088 Florence Crittenton Services of Orange County Inc Residential Treatment Facility, Emotionally Disturbed Children 100 E Valley View Dr, Fullerton, CA 92832-1321 2016-11-21
1700242856 Michelle Ahmed Counselor 100 E Valley View Dr, Fullerton, CA 92832-1321 2016-01-05
1770950891 Belinda Robinson Case Manager/Care Coordinator 100 E Valley View Dr, Fullerton, CA 92832-1321 2015-08-24
1497090070 Devin Eileen Murphy Counselor 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-12-07
1841548252 Tory-lyn Marie Cline Licensed Practical Nurse 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-08-16
1982950077 Dmitry Tsukerman Rehabilitation Practitioner 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-07-26
1083960199 Adilis Esther Sanchez Case Manager/Care Coordinator 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-07-25
1245585363 Talesha Payne Rehabilitation Practitioner 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-07-14
1235494667 Goldie Chan Rehabilitation Counselor 100 E Valley View Dr, Fullerton, CA 92832-1321 2012-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932735669 Diana Hernandez Behavior Technician 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2020-03-13
1942830013 Karen Marie Winkle Speech-Language Pathologist 812 Lois Lane, Fullerton, CA 92832 2020-01-17
1578122487 Andrea Arevalo Behavior Technician 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-06-13
1275090193 Madison Elizabeth Miller Behavior Technician 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-02-27
1528525862 Samantha Rivas Behavior Technician 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 2019-02-22
1760948483 Marcus Gerard Chavez Behavioral Analyst 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 2019-02-19
1710443437 Rolando Jimenez Behavior Technician 713 W. Commonwealth, Suite A, La Habra, CA 92832 2019-02-18
1659872919 Anthony James Arneson Marriage & Family Therapist 120 N Lawrence, Fullerton, CA 92832 2018-02-22
1407302243 Be Well Pharmacy Inc Pharmacy 105 N Lawrence Ave, Fullerton, CA 92832 2016-08-31
1871907972 Edward Walls Counselor 771 W.orangethorpe Ave., Fullerton, CA 92832 2014-06-17
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356976864 Millea Jewel Betts Rehabilitation Practitioner 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 2020-03-04
1477085140 Kayla Jackson Rehabilitation Practitioner 801 E Chapman Ave #203, Fullerton, CA 92831-3839 2017-03-31
1003279787 Marvin Mendiola Rehabilitation Practitioner Crittenton Services 801 E. Chapman Avenue, Fullerton, CA 92831-3839 2016-03-31
1568884880 Cynthia Marie Alvarado Rehabilitation Practitioner 801 E Chapman Ave., #203, Fullerton, CA 92831-3839 2014-01-07
1558707836 Jorge Chavez Jr. Rehabilitation Practitioner 801 E. Chapman Ave., #203, Fullerton, CA 92831-3839 2013-05-14
1366746877 Leticia Vallejo Rehabilitation Practitioner 801 E.chapman Ave, Fullerton, CA 92831 2010-12-28
1265733992 Faith Ellen Fortuno Rehabilitation Practitioner 801 East Chapman # 203, Fullerton, CA 92831-3839 2010-11-11
1891952214 Deborah Gaffney Rehabilitation Practitioner 100 E Valley View, Fullerton, CA 92832 2008-05-22
1760684468 Marcelene Mcclendon Rehabilitation Practitioner 801 East Chapman Ave, Florence Crittenton Services of Orange County, Inc., Fullerton, CA 92831-3839 2007-06-04
1366058489 Juan Islas Rehabilitation Practitioner 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 2020-09-23
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Competitor

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City FULLERTON
Zip Code 92832

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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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