Kathleen Cain Wisdom, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

4139 Issued in KY

Practice address

7400 E Kilgus Cir
Crestwood, KY 40014-9447

Phone

(502) 241-1499

Fax

(502) 241-2261

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kathleen Marie Cain Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisdom Chiropractic Center IncGroup PAC ID 9133148463, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wisdom Chiropractic Center, Inc

  • Chiropractor
  • Crestwood, KY
  • NPI 1770705378
  Medicare reassignment Care Compare group NPD Authorized official
• Anderson Physical Therapy LLC

  dba Back Pain Relief Center, Diabetes Control Center

  • Physical Therapist
  • Louisville, KY
  • NPI 1184875577
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1316005937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E KILGUS CIR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149447",
            "telephone_number": "502-241-1499",
            "fax_number": "502-241-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E KILGUS CIR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149447",
            "telephone_number": "502-241-1499",
            "fax_number": "502-241-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "KATHLEEN",
        "middle_name": "CAIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KY",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CAIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Leigh Williams, M.S. CCC-SLP
• Nicky Lee Williams, CCC-SLP
• Morgan Riggs Wilson, DPT
• Rachel A Wilson, CCC-SLP
• Wisdom Chiropractic Center, Inc
• Emily Woods, OTR/L
• Patricia Edlin Woods, MED
• Emma Wunderlin, M.S., CCC-SLP
• Laura Ellen Young, PSY.D.
• Tammy Young

• Internist Chiropractor in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Internist Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.