Individual
DR. MARY RATLIFF KEDROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3140 NW MEDICAL CENTER LN, LAKE CITY, FL 32055-4717
(386) 755-6682
(386) 755-6796
Mailing address
3140 NW MEDICAL CENTER LN STE 120, LAKE CITY, FL 32055-4735
(386) 755-6682
(386) 755-6796
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS15936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OS15936
—
FL
Enumeration date
06/30/2014
Last updated
02/27/2023
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