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Individual
KEVIN PATRICK RIDENHOUR
Active
Individual
KEVIN PATRICK RIDENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
43969
KY
207RH0003X
Hematology & Oncology Physician
9600701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201018430
—
IN
05
—
3896860
—
TN
05
—
7100144350
—
KY
01
—
P00153508
MEDICARE RAILROAD
—
Enumeration date
07/26/2005
Last updated
11/10/2020
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