Kenneth P Drude is a Clinical in Springfield, Ohio. Kenneth P Drude practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth P Drude is 1518055474. The last update date is 2007-10-25.
Kenneth P Drude's current location address is 1130 Vester Ave, Springfield, Ohio. You can contact this provider via phone number 9373903800 and fax number 9373903804. The mailing address for Kenneth P Drude is 1130 Vester Ave, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth P Drude |
|---|---|
| Address | 1130 Vester Ave, Springfield, Ohio |
| Phone Number | 9373903800 |
| Fax Number | 9373903804 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1518055474 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 1130 Vester Ave |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455037302 |
| Phone Number | 9373903800 |
| Fax Number | 9373903804 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1437 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 254577 | OH | -- |
Post Comment/ Review Below
What is the Kenneth P Drude's 1518055474?
The Kenneth P Drude's NPI (National Provider Identifier) Number is 1518055474. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth P Drude is located?
The Kenneth P Drude is situated at the following address: 1130 Vester Ave, Springfield, OH, 455037302.
What is the Kenneth P Drude's specialty and taxonomy code?
The Kenneth P Drude's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518055474 to Kenneth P Drude?
The Centers for Medicare & Medicaid Services originally issued the 1518055474 to Kenneth P Drude on 2006-10-10.
When was the information related to Kenneth P Drude most recently updated or refreshed?
The details pertaining to the Kenneth P Drude, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-25.
NPI Number: 1063415297
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