Kenneth C. Sturgis DC SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1759 Issued in WI

Legal business name

KENNETH C. STURGIS DC SC

Practice address

2420 Finger Rd
Green Bay, WI 54302-4210

Phone

(920) 465-6040

Fax

(920) 465-4464

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth C. Sturgis

Title

Owner

Phone

(920) 465-6040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1124151956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024210",
            "telephone_number": "920-465-6040",
            "fax_number": "920-465-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024210",
            "telephone_number": "920-465-6040",
            "fax_number": "920-465-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. STURGIS DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "STURGIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-465-6040"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38774600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise A Kennedy, M.D.
• Kimberly Kennedy, LPC
• Stephanie Kennedy, RN
• Timothy J Kennedy, MD
• Kenneth C. Clark DDS,Ms
• Susan K Kenney, AU.D.
• Mark Roger Kenton, RN, BSN
• Jennifer Keomanyvong
• Helen Louise Keough, R.N.
• Stephanie Keranen, COTA

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.