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DR. KENNETH CHARLES WADUM ED.D.
NPI 1225191976
Psychologist - Clinical in Rochester, MN

Active since December 17, 2006
1700 N BROADWAY, SUITE 118, ROCHESTER, MN 55906(507) 280-0225(507) 280-8780 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Charles Wadum Ed.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH CHARLES WADUM ED.D. (NPI 1225191976) is an individual clinical provider in Rochester, Minnesota, licensed in Minnesota (LP2777) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1225191976
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH CHARLES WADUMCredential: ED.D.
Location Address1700 N BROADWAY, SUITE 118Rochester, MN 55906-4144
Mailing Address2400 18th Ave SwRochester, MN 55902-1018 · (507) 282-8029 · Fax (507) 280-8780
Phone(507) 280-0225
Fax(507) 280-8780
Sole ProprietorYes
Enumeration DateDecember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225191976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP2777
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1700 N BROADWAY, Rochester, MN 55906
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY JEROME BRINK LMFT
Counselor (Mental Health)
1700 N BROADWAY, SUITE 118
ROCHESTER, MN 55906
Olmsted County (507) 285-9337
MS. CHERYL A KLIEWER
Social Worker (Clinical)
1700 N BROADWAY, SUITE 154
ROCHESTER, MN 55906
Olmsted County (507) 280-6054
MS. ROSELLA G KLIEWER
Marriage & Family Therapist
1700 N BROADWAY, SUITE 154
ROCHESTER, MN 55906
Olmsted County (507) 280-6054
MS. TARA LYNN PALMER M.A., LAMFT
Counselor (Mental Health)
1700 N BROADWAY, SUITE 118
ROCHESTER, MN 55906
Olmsted County (507) 292-7808
PERKINS ENTERPRISES, INC.
Community/Behavioral Health
1700 N BROADWAY, SUITE 103
ROCHESTER, MN 55906
Olmsted County (507) 529-1758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wadum's NPI number?

The NPI number for Kenneth Wadum is 1225191976. It was assigned to this individual provider in the NPPES registry on December 17, 2006.

Where is Kenneth Wadum located?

Kenneth Wadum practices at 1700 N Broadway Suite 118, Rochester, MN 55906. The listed phone number is (507) 280-0225.

What is Kenneth Wadum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Wadum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.