Individual
MR. KEITH BACON RITCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
76 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4547
(508) 760-5318
Mailing address
76 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4547
(508) 760-5318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1613
MA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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