Keith W Kenitzer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3816 Issued in KY

Practice address

700 Gagel Ave
Louisville, KY 40216-4008

Phone

(502) 366-7386

Fax

(502) 366-2222

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• Goben Chiropractic Offices, PLLC

  • Chiropractor
  • Louisville, KY
  • NPI 1871595165
  Medicare reassignment NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1740282045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164008",
            "telephone_number": "502-366-7386",
            "fax_number": "502-366-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164008",
            "telephone_number": "502-366-7386",
            "fax_number": "502-366-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENITZER",
        "first_name": "KEITH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1136138",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002103",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000221631",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SENIOR",
            "identifier": "611274059A12",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED RAILROAD MEDICARE",
            "identifier": "350036040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakary Eugene Kendall, M.A., LPCC
• Kendrick Home Care LLC
• Brittany Nicole Kendrick
• Paula Kendrick, RN
• Uneka Shervon Kendrick
• Larry Kennard, PT, DPT
• Lydia P Kennebrew
• Angela Kennedy, PHARMD
• Claire Kennedy
• Erica Lee Kennedy, SLP

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.