Ken O Ridgeway, DO

NPI #1013998723 in Greentown, Indiana

Provider Information

NPI Number: 1013998723
Entity Type: Individual
Name: Ken O Ridgeway, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Nov 9, 2005
Last Updated: Oct 24, 2007

Practice Location

Address: 712 W MAIN ST
City: Greentown
State: Indiana
ZIP Code: 46936-1045
Phone: (765) 628-3319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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