Individual
TODD ANTHONY RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(888) 878-6881
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(888) 878-6881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
610160
TX
Other
Enumeration date
04/15/2008
Last updated
01/15/2020
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