Kenneth B McVey, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R4N69 Issued in MO

Practice address

1720 Kanell Blvd
Suite 1
Poplar Bluff, MO 63901-4009

Phone

(573) 778-1336

Fax

(573) 778-1336

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poplar Bluff Radiology Services Inc

  • Diagnostic Radiology Physician
  • Poplar Bluff, MO
  • NPI 1073793642
  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1073526422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1618",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639021618",
            "telephone_number": "573-778-1336",
            "fax_number": "573-778-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 KANELL BLVD",
            "address_2": "SUITE 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014009",
            "telephone_number": "573-778-1336",
            "fax_number": "573-778-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEY",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R4N69",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507265502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn McLean, MSW, LCSW
• Barbara McMains, ACNP
• Angela Marie McNeal
• Peyton Jane McNeal, SLP
• Paige A McNew
• Lindsay R McVey, FNP
• McWilliams Manor, Incorporated
• McWilliams Manor, Incorporated
• Med-Trans Corporation
• Ashlee Medler

• Diagnostic Radiology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.