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Organization
R RITCHIE VAN BUSSUM MD PSC
Active
Organization
R RITCHIE VAN BUSSUM MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RITCHIE VAN BUSSUM MD (OWNER PRESIDENT)
(859) 277-3636
Entity
Organization
Contact information
Practice address
1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1474
(859) 277-2211
(859) 277-7575
Mailing address
1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1474
(859) 277-2211
(859) 277-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
11/11/2008
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