Individual
DR. RONALD E WALDRIDGE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-4622
(502) 633-6925
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 633-4622
(502) 633-6925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14530
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64145303
—
KY
Enumeration date
08/16/2005
Last updated
05/12/2014
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