Kenneth Wayne Rubenacker, M.S., CCC-A

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

000803 Issued in MO

Practice address

417 South Kingshighway
Sikeston, MO 63801-2923

Phone

(573) 471-7264

Fax

(573) 471-7264

NPI assigned

Feb 28, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659409126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012923",
            "telephone_number": "573-471-7264",
            "fax_number": "573-471-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SOUTH KINGSHIGHWAY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012923",
            "telephone_number": "573-471-7264",
            "fax_number": "573-471-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENACKER",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "01570",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "000803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "45-00333",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "121820",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "531661",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.