Dr. Kevin Patrick Ruddell is a Lewiston, Idaho based male chiropractor with 32 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1992. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kevin Patrick Ruddell as General Chiropractor is CHIR 725 in Idaho. Dr. Kevin Patrick Ruddell is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Kevin Patrick Ruddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
32+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1117 16th Avenue, Lewiston, Idaho, 83501
Phone:
208-743-8401
Fax:
208-743-8722
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597928424
Enrollment ID:
I20120512000000
NPI Number:
1013072669
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Patrick Ruddell are as mentioned below.
License Number
Specialization
State
Status
CHIR 725
Chiropractor
Idaho
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kevin Patrick Ruddell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ruddell Chiropractic Clinic (5395907729)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kevin Patrick Ruddell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000010024191
Other
Idaho
REGENCE
0190459
Other
DEPT LABOR & INDUSTRIES
C7259
Other
Idaho
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1117 16th Avenue, Lewiston, Idaho
Zip:
83501
Phone Number:
208-743-8401
Fax Number:
208-743-8722
Patients can reach Dr. Kevin Patrick Ruddell at 1117 16th Avenue, Lewiston, Idaho or can call to book an appointment on 208-743-8401. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.