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KENNETH WIGGS MA
NPI 1750423562
Counselor - Professional in Springfield, MO

Active since February 12, 2007
3050 S NATIONAL AVE, SUITE 104, SPRINGFIELD, MO 65804(417) 597-4572(417) 882-1507 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Wiggs Ma NPPES

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

KENNETH WIGGS MA (NPI 1750423562) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2005024468) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1750423562
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNETH WIGGSCredential: MA
Location Address3050 S NATIONAL AVE, SUITE 104Springfield, MO 65804-4242
Mailing Address3050 S National Ave, Suite 104Springfield, MO 65804-4242 · (417) 597-4572 · Fax (417) 882-1507
Phone(417) 597-4572
Fax(417) 882-1507
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 16, 2016
✔ NPI 1750423562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2005024468
3050 S NATIONAL AVE, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 1

Medicaid497430306MO

Other Providers at the Same Location NPPES 7

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

JASON TONKS
Case Manager/Care Coordinator
3050 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
SHELBY DARLENE MURPHY PHARMD
Pharmacist
3050 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 881-8822
DR. ROBERT W. NUNN D.D.S.
Dentist (General Practice)
3050 S NATIONAL AVE, SUITE # 105
SPRINGFIELD, MO 65804
Greene County (417) 887-8801
JUDITH SHIELDS
Community Health Worker
3050 S NATIONAL AVE, SUITE 104
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
BLAIK BOLERJACK
Case Manager/Care Coordinator
3050 S NATIONAL AVE, SUITE 104
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
FLOYD FREY
Counselor (Professional)
3050 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 597-4572
LAUREN ASHLEY EDWARDS MS, LPC
Counselor (Professional)
3050 S NATIONAL AVE, SUITE 104
SPRINGFIELD, MO 65804
Greene County (417) 597-4572

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 Wiggs's NPI number?

The NPI number for Kenneth Wiggs is 1750423562. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Kenneth Wiggs located?

Kenneth Wiggs practices at 3050 S National Ave Suite 104, Springfield, MO 65804. The listed phone number is (417) 597-4572.

What is Kenneth Wiggs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kenneth Wiggs was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.