Active NPI
Kenneth Ervin Thielke, DC
- Chiropractor
- Ashland, KY
National Provider Identifier
1730380148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2309
- Practice address
- 929 Winchester Ave
Ashland, KY 41101-7446 - Phone
- (606) 324-1619
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2309 | KY | Primary |
Addresses
Primary practice location
929 Winchester Ave
Ashland, KY 41101-7446
Mailing address
929 Winchester Ave
Ashland, KY 41101-7446
Phone (606) 324-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2309 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730380148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017446",
"telephone_number": "606-324-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017446",
"telephone_number": "606-324-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELKE",
"first_name": "KENNETH",
"middle_name": "ERVIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "2309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.