Organization
KENNETH A, RITTER JR. M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADA C CEDEUR (OFFICE MANAGER)
(337) 365-0005
Entity
Organization
Contact information
Practice address
2313 E MAIN ST, NEW IBERIA, LA 70560-4091
(337) 365-0005
(337) 365-0071
Mailing address
2313 E MAIN ST, NEW IBERIA, LA 70560-4091
(337) 365-0005
(337) 365-0071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
59139
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186601
—
LA
01
—
4347837270
BLUE CROSS
LA
Enumeration date
05/21/2008
Last updated
05/21/2008
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