Dr. Kenneth G Lane , DC
Chiropractor • Ava, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Lane has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Lane, DC was a registered Chiropractor practicing in Ava, MO. Throughout an active medical career spanning 14 years, Dr. Lane provided care at the practice location at 1402 NW 10TH LANE until profile deactivation on 2021-01-26.
Practice Location & Contact Primary Location
1402 Nw 10th Lane
Ava, MO 656080563
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Ava, MO
Practicing in Ava, MO (2674 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 26, 2021
NPI status registered as active in NPPES database
Registered at 1402 NW 10TH LANE, AVA, MO 656080563 (Tel: 4176833333)
Registered at PO BOX 563, AVA, MO 65608 (Tel: 4176833333)
Recorded as KENNETH LANE, DC
Chiropractor (License #CE003008 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 563
Ava, MO 65608
Phone: 4176833333
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