Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Patrick Ruddell, DC

Individual provider Chiropractor · NPI 1013072669

Dr. Kevin Patrick Ruddell, DC is a Chiropractic in Lewiston, Idaho. Graduated from Palmer College Chiropractic - Davenport in 1992, 34 years ago. Practices with Ruddell Chiropractic Clinic, a 2-clinician group. Licensed in Idaho.

Years since qualifying
34
Trained at
Palmer College Chiropractic - Davenport
Licensed in
ID
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1117 16th Ave
Lewiston, ID 83501
Phone: (208) 743-8401
Fax: (208) 743-8722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR 725 (ID)

Record details

NPI number1013072669
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1117 16th Avenue, Lewiston, ID 83501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1992 (34 years in practice)
Group practice Ruddell Chiropractic Clinic — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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