Individual
LARRY W RIDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14607 W 49TH ST, SHAWNEE, KS 66216-5162
(734) 213-3931
Mailing address
14607 W 49TH ST, SHAWNEE, KS 66216-5162
(734) 213-3931
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
04-29139
KS
2084N0400X
Neurology Physician
Primary
04-29139
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389870A
—
KS
01
—
130023466
RAILROAD MEDICARE
—
05
—
205320609
—
MO
01
—
28659021
BCBS KS CITY
MO
01
—
399330
FIRSTGUARD
KS
Enumeration date
09/20/2006
Last updated
04/17/2013
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