Provider Demographics
NPI:1851463418
Name:VINDENI, KENNETH D (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:D
Last Name:VINDENI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07435-0156
Mailing Address - Country:US
Mailing Address - Phone:973-697-2455
Mailing Address - Fax:973-697-0800
Practice Address - Street 1:7 OAK RIDGE RD APT 3
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:NJ
Practice Address - Zip Code:07435-1439
Practice Address - Country:US
Practice Address - Phone:973-697-2455
Practice Address - Fax:973-697-0800
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3156111N00000X, 111N00000X
NJ1821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ521542Medicare ID - Type Unspecified