Kenneth Wadum, ED.D

NPI 1225191976 · on the registry since 2006 · sole proprietor

Practice

Address: 1700 N Broadway
Suite 118
Rochester, MN 55906
Phone: (507) 280-0225
Fax: (507) 280-8780
Organisation at this address: Smn Home Care, Llc
Perkins Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota