Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 44171 | KY |
Y | 208600000X | Surgeon | 44171 | KY |
NPI | 1013907237 |
---|---|
Provider Name | Dr. Dasen R Ritchey |
First Address | Eubank, KY 42567-6717 |
Second Address | Eubank, KY 42567-6717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 26/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I26252 | (02) | OH |