KENNETH WILDER CDCA
NPI 1225528789
Case Manager/Care Coordinator in Ironton, OH

Q: What is Kenneth Wilder's NPI number?

The NPI number for Kenneth Wilder is 1225528789. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Q: What is Kenneth Wilder's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wilder was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 10, 2018

700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 532-1715 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2018, Sep 10, 2018, Aug 9, 2018 and 2 more (5 updates tracked since 2018).

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About Kenneth Wilder Cdca NPPES

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

KENNETH WILDER CDCA (NPI 1225528789) is an individual case manager/care coordinator provider in Ironton, Ohio, licensed in Ohio (CDCA.168125) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1225528789

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKENNETH WILDERCredential: CDCA

Location Address700 PARK AVEIronton, OH 45638

Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 532-1715

Phone(740) 532-1613

Fax(740) 532-1715

Sole ProprietorNo

Enumeration DateMay 10, 2018

Last NPPES UpdateOctober 9, 20185 updates tracked since enumeration

✔ NPI 1225528789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OH · CDCA.168125

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

700 PARK AVE, Ironton, OH 45638

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Other Identifiers 1

Medicaid0315943OH

Other Providers at the Same Location NPPES 20

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

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