DR. KENNETH WALKER RUDD MD MPH DABFM NPI 1609029420

NPI Information

  • NPI: 1609029420
  • Provider Name: DR. KENNETH WALKER RUDD, MD, MPH, DABFM
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 289 COUNTY RD
    WINDSOR, VT
    ZIP 05089
  • Phone: (802) 674-6711

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NPI Details

DR. Kenneth Walker Rudd, MD, MPH, DABFM is a family medicine in Windsor, VT with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth Walker Rudd, MD, MPH, DABFM NPI is 1609029420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

289 COUNTY RD
WINDSOR, VT
ZIP 05089-000
Phone: (802) 674-6711
Fax: (802) 674-7155

The NPI 1609029420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)

The enumeration date for this NPI number is 10/23/2008 and was last updated on 1/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine15514NEW HAMPSHIRENo
2207P00000XEmergency Medicine042414CONNECTICUTNo
3207P00000XEmergency Medicine042.0012952VERMONTNo
4207Q00000XFamily Medicine042414CONNECTICUTNo
5207Q00000XFamily Medicine25MA07905200NEW JERSEYNo
6207Q00000XFamily Medicine15514NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132001365MEDICAIDNEW HAMPSHIRE
21020400MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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