Kathern Marie Twidwell, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2009015247 Issued in MO

Practice address

315 W Mulberry Ste B
Pilot Knob, MO 63663-7883

Phone

(573) 546-1001

Fax

(573) 546-1002

NPI assigned

Apr 8, 2013

Last updated

Oct 19, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1891138087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 2ND ST",
            "city": "ELLINGTON",
            "state": "MO",
            "postal_code": "636389400",
            "telephone_number": "573-663-2313",
            "fax_number": "573-663-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MULBERRY STE B",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636637883",
            "telephone_number": "573-546-1001",
            "fax_number": "573-546-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Ellington",
            "state": "MO",
            "postal_code": "636389300",
            "country_code": "US",
            "telephone_number": "573-663-3177",
            "fax_number": "573-663-3188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 N Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013315",
            "country_code": "US",
            "telephone_number": "573-778-3042",
            "fax_number": "573-778-9432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plum St Ste D",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351225",
            "country_code": "US",
            "telephone_number": "573-351-2041",
            "fax_number": "573-351-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hals Plz Ste B",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "MO",
            "postal_code": "639571631",
            "country_code": "US",
            "telephone_number": "573-223-8902",
            "fax_number": "573-223-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 N Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013315",
            "country_code": "US",
            "telephone_number": "573-778-3042",
            "fax_number": "573-778-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWIDWELL",
        "first_name": "KATHERN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2009015247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Pilot Knob, MO
• Providers in Pilot Knob, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.