KELLY DONN RUDD D.C. NPI 1992871149

NPI Information

  • NPI: 1992871149
  • Provider Name: KELLY DONN RUDD, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 500 N SUPERIOR AVE
    TOMAH, WI
    ZIP 54660
  • Phone: (608) 372-3348

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NPI Details

Kelly Donn Rudd, D.C. is a chiropractor in Tomah, WI. The provider is a provider qualified by 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. Kelly Donn Rudd, D.C. NPI is 1992871149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 N SUPERIOR AVE
TOMAH, WI
ZIP 54660-114
Phone: (608) 372-3348
Fax: (608) 372-5693

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.

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
1111N00000XChiropractor1712WISCONSINYes

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
138775000MEDICAIDWISCONSIN
275616MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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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