Healthcare Provider Details

I. General information

NPI: 1477983534
Provider Name (Legal Business Name): REBECCA RITCHEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL WAY STE 270
SOMERSET KY
42503-1875
US

IV. Provider business mailing address

PO BOX 990
DANVILLE KY
40423-0990
US

V. Phone/Fax

Practice location:
  • Phone: 606-425-4298
  • Fax:
Mailing address:
  • Phone: 859-239-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA1697
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: