Individual
KARLENE RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2701 COVEY LN, JEFFERSON CITY, MO 65109-9214
(573) 291-1767
Mailing address
2701 COVEY LN, JEFFERSON CITY, MO 65109-9214
(573) 291-1767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022045904
MO
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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