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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH EARL RUDOLPH

Active

MR. KENNETH EARL RUDOLPH is a Clinical Social Worker healthcare provider located in LYNCHBURG, Virginia. NPI 1720564917 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LYNCHBURG, VA

Registration Details

NPI Number
1720564917
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2018 (8.0703624211564 yrs)
Last Updated
Mar 7, 2025
Licenses
62252 (TX)
62252 (TX)

Practice Information

Address
1600 LAKESIDE DR
LYNCHBURG, VA, 245013116
Browse VA providers · Browse ZIP 24501
Phone
4343637219
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LYNCHBURG, VA

Name Credential NPI
BARBARA P JANNAH LCSW 1871599670
ELLIS M. KARR LCSW 1215938972
ROBERT G. CONLON LCSW 1952303794
JANET PECHA GARDNER LCSW 1265401715
MR. MATTHEW JAMES CANNING LCSW 1063481299
SALLY OWEN CONLON LCSW 1447209176
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.