Individual
DR. KEVIN RAGSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1584 METROPOLITAN BLVD, SUITE 101, TALLAHASSEE, FL 32308-3775
(850) 201-8452
(850) 201-8453
Mailing address
1584 METROPOLITAN BLVD, SUITE 101, TALLAHASSEE, FL 32308-3775
(850) 201-8452
(850) 201-8453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54392
BCBSFL PROVIDER NUMBER
FL
Enumeration date
02/02/2007
Last updated
07/08/2007
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