Kevin James Wadle, DC
Individual provider Active NPI Chiropractor · Taylorsville, KY
NPI 1245226992 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1245226992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4328 (KY)
- Practice address
- 101 Settlers Center Rd
Taylorsville, KY 40071-7732 - Phone
- (502) 477-5000
- Fax
- (502) 477-5005
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2304 Hurstbourne Village Dr
Suite 100
Louisville, KY 40299-1853
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4328 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danan L Hall Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Taylorsville Chiropractic, Inc | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4328 | KY | Yes |
Addresses
Primary practice location
101 Settlers Center Rd
Taylorsville, KY 40071-7732
Mailing address
101 Settlers Center Rd
Taylorsville, KY 40071-7732
Phone (502) 477-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85043289 | Medicaid | KY | |
| 1065686 | Other | KY | PASSPORT |
Other providers in Taylorsville, KY
- Taylorsville Chiropractic, Inc
- Melissa Thomas
- Venture Anesthesia, Inc.
- Kathleen O Ververeli
- Prodromos A Ververeli
- Zehra Waits
- Rachel Weedman
- Laverne Wheatley-Terry
- Andrea Witt
- Yhp1, LLC
All providers in Taylorsville, KY · Chiropractor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.