Individual
KEVIN RANSOM AU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-1854
(360) 514-6063
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
72872
WI
2086S0129X
Vascular Surgery Physician
Primary
MD70075688
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417344219
—
WI
Enumeration date
04/20/2015
Last updated
02/12/2026
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