Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1992814024 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth D Lichtenwalter , DC

Chiropractor • Issaquah, WA

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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 Lichtenwalter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date September 13, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lichtenwalter, DC was a registered Chiropractor practicing in Issaquah, WA. Throughout an active medical career spanning 15 years, Dr. Lichtenwalter provided care at the practice location at 4556 KLAHANIE DR SE until profile deactivation on 2021-09-13.

Practice Location & Contact Primary Location

Practice Address

4556 Klahanie Dr Se

Issaquah, WA 980295812

Telephone 4253915050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Issaquah, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Issaquah, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00001668

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033636626

Doctor of Chiropractic

Matthew Mccommons , LMT

Massage Therapist

NPI 1073106068

Licensed Massage Therapist

NPI 1306064282

Doctor of Chiropractic

NPI 1306559976

Doctor of Chiropractic

Daniel Ruiz , LMT

Massage Therapist

NPI 1639384324

Licensed Massage Therapist

Stephen Vigil

Massage Therapist

NPI 1649600610

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2021

Record deactivated on September 13, 2021

NPI Profile Active April 20, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2009

Registered at 4556 KLAHANIE DR SE, ISSAQUAH, WA 980295812 (Tel: 4253915050)

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Updated Business Mailing Address April 20, 2009

Registered at 4556 KLAHANIE DR SE, ISSAQUAH, WA 980295812 (Tel: 4253915050)

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Provider Name / Credentials Updated April 20, 2009

Recorded as KENNETH LICHTENWALTER, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2009

Chiropractor (License #CH00001668 in WA)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992814024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: April 20, 2009
Deactivation Date: September 13, 2021

Mailing Address

4556 Klahanie Dr Se

Issaquah, WA 980295812

Phone: 4253915050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.