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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
100 E VALLEY VIEW DR |
City | FULLERTON |
State | CA |
Zip Code | 92832-1321 |
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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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 |
Find all providers in zip 92832 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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 |
Find all providers in FULLERTON |
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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.