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

Mr. Kenneth Earl Rudolph

Individual provider Clinical Social Worker · NPI 1720564917

Mr. Kenneth Earl Rudolph is a Clinical Social Worker in Lynchburg, Virginia. Licensed in Texas and Virginia. Registered with an NPI since 2018.

Licensed in
TX, VA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1600 Lakeside Dr
Lynchburg, VA 24501-3116
Phone: (434) 363-7219
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 62252 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904018643 (VA)

Record details

NPI number1720564917
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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