Individual
MR. KENNETH WAYNE RUBENACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
417 SOUTH KINGSHIGHWAY, SIKESTON, MO 63801-2923
(573) 471-7264
(573) 471-7264
Mailing address
417 S KINGSHIGHWAY ST, SIKESTON, MO 63801-2923
(573) 471-7264
(573) 471-7264
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01570
MO
237700000X
Hearing Instrument Specialist
Primary
000803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121820
BLUE CROSS BLUE SHIELD
MO
01
—
45-00333
UNITED HEALTHCARE
MO
01
—
531661
HEALTHLINK
MO
Enumeration date
02/28/2007
Last updated
09/11/2025
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