Kenneth G. Wolf, D.C., L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006003308 Issued in MO

Legal business name

KENNETH G. WOLF, D.C., L.L.C.

Practice address

510 Baxter Rd
Suite #8
Chesterfield, MO 63017-7032

Phone

(314) 707-5575

Fax

(636) 207-6631

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Gerard Wolf, D.C.NPI 1932215498

Title

Owner

Phone

(314) 707-5575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Gerard Wolf, D.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1932215498
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185580800000",
    "number": "1336244342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 FOXPOINT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432109",
            "telephone_number": "314-707-5575",
            "fax_number": "636-207-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD",
            "address_2": "SUITE #8",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "314-707-5575",
            "fax_number": "636-207-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G. WOLF, D.C., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-28",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-707-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006003308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lauren Kelley, OTR/L
• Kelly M Bauman LCSW LLC
• Jessica Faron Kemp
• Amanda Nichole Kennedy, LCSW
• Kenneth G Selke MD
• L Joseph Kennington, MD
• Tylor Kersten, MD
• Katharine Kerstetter
• Norman Kettner, DC,DACBR
• Key Anesthesia Partners

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.