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Individual

KEVIN PATRICK RIDENHOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 BRECKENRIDGE ST STE 201, OWENSBORO, KY 42303-0876
(270) 688-3445
(270) 688-3444
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
43969
KY
207RH0003X
Hematology & Oncology Physician
9600701
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201018430
IN
05
3896860
TN
05
7100144350
KY
01
P00153508
MEDICARE RAILROAD
Enumeration date
07/26/2005
Last updated
11/10/2020
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