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Contact Information

KEVIN P RIDENHOUR, MD
1000 BRECKENRIDGE ST STE 201
OWENSBORO, KY42303-0876
 Phone: 270-688-3445
 Fax: 270-688-3444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEVIN P RIDENHOUR · (Male)

NPI # 1568462059
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 11/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 43969
  • NC License # 9600701
  • IN Medicaid 201018430
  • KY Medicaid 7100144350
  • TN Medicaid 3896860
  • Other P00153508 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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