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NPI Code Detail

MEDICARE: KERENSA JOY RITCHIE CNM

MEDICARE: KERENSA JOY RITCHIE CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife10026296OR

General Provider Information

NPI Number : 1891538088
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERENSA JOY RITCHIE CNM
Provider Business Mailing Address
First Line : 2550 CEDAR LINKS DR
Second Line :
City : MEDFORD
State : OR
Zip : 97504-5002
Country : US
Telephone Number : 541-778-2222
Fax Number :
Provider Business Practice Location Address
First Line : 750 TWIN CREEKS XING APT A
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-8656
Country : US
Telephone Number : 541-778-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2024
Last Update Date : 06/14/2024

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