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

Keith Edward Pudwill, DC

Individual provider Chiropractor · NPI 1730958752

Keith Edward Pudwill, DC is a Chiropractic in Sartell, Minnesota. Graduated from Northwestern College of Chiropractic in 2023, 3 years ago. Practices with Chiropractic Performance Center, PA, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2380 Troop Dr Unit 201
Sartell, MN 56377-4637
Phone: (320) 255-0961
Fax: (320) 258-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7176 (MN)

Record details

NPI number1730958752
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 4, 2024
Mailing address2380 Troop Dr Unit 201, Sartell, MN 56377-4637

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2023 (3 years in practice)
Group practice Chiropractic Performance Center, Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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