Individual
DR. RONEKA LEANTRICE RAVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3897 CHARLESTOWN RD, NEW ALBANY, IN 47150-9562
(502) 495-3665
(502) 874-5536
Mailing address
3897 CHARLESTOWN RD, NEW ALBANY, IN 47150-9562
(502) 495-3665
(502) 874-5536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL27031
SC
207RR0500X
Rheumatology Physician
Primary
01082883A
IN
207RR0500X
Rheumatology Physician
Primary
TP872
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720689
ANTHEM- NORTON RHEUMATOLOGY SPECIALISTS
KY
01
—
127892
SIHO- NORTON RHEUMATOLOGY SPECIALISTS
KY
05
—
201048430
—
IN
01
—
50036616
PASSPORT- NORTON RHEUMATOLOGY SPECIALISTS
KY
05
—
7100174210
—
KY
Enumeration date
11/04/2006
Last updated
01/29/2026
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