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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEN O RIDGEWAY, DO

Active

KEN O RIDGEWAY, DO is a Family Medicine healthcare provider located in GREENTOWN, Indiana. NPI 1013998723 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GREENTOWN, IN

Registration Details

NPI Number
1013998723
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.76331178003 yrs)
Last Updated
Oct 24, 2007
License
2000340 (IN)

Practice Information

Address
712 W MAIN ST
GREENTOWN, IN, 469361045
Browse IN providers · Browse ZIP 46936
Phone
7656283319
Fax
7656285979
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GREENTOWN, IN

Name Credential NPI
ISHAN GOHIL MD 1639563596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.