KENNETH A. URBAN D.C.
NPI 1346336096
Chiropractor in Green Bay, WI

Active since October 04, 2006
1624 E MASON ST, GREEN BAY, WI 54302(920) 465-0400(920) 465-1430 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth A. Urban D.c. NPPES

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

KENNETH A. URBAN D.C. (NPI 1346336096) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (1483) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1346336096
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENNETH A. URBANCredential: D.C.
Location Address1624 E MASON STGreen Bay, WI 54302-2739
Mailing Address1624 E Mason StGreen Bay, WI 54302-2739 · (920) 465-0400 · Fax (920) 465-1430
Fax(920) 465-1430
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 28, 2011
NPI 1346336096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 1483
Definition
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.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 1483 (WI)
1624 E MASON ST, Green Bay, WI 54302

Other Identifiers 2

Medicare ID-Type Unspecified35125001WI
Medicaid38757000WI

Other Providers at the Same Location NPPES 3

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

Chiropractor
1624 E MASON ST
GREEN BAY, WI 54302
Chiropractor (Nutrition)
1624 E MASON ST
GREEN BAY, WI 54302
Chiropractor
1624 E MASON ST
GREEN BAY, WI 54302

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 Urban's NPI number?

The NPI number for Kenneth Urban is 1346336096. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kenneth Urban located?

Kenneth Urban practices at 1624 E Mason St, Green Bay, WI 54302. The listed phone number is (920) 465-0400.

What is Kenneth Urban's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Urban was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.