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NPI Code Detail

MEDICARE: DR. DASEN R RITCHEY M.D.

MEDICARE: DR. DASEN R RITCHEY M.D.
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
1208600000XSurgery Physician44171KY

General Provider Information

NPI Number : 1013907237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DASEN R RITCHEY M.D.
Provider Business Mailing Address
First Line : 320 OLD SOMERSET STANFORD RD
Second Line :
City : EUBANK
State : KY
Zip : 42567-6717
Country : US
Telephone Number : 270-566-0157
Fax Number :
Provider Business Practice Location Address
First Line : 305 ESTILL ST
Second Line :
City : BEREA
State : KY
Zip : 40403-1742
Country : US
Telephone Number : 859-986-3151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 04/09/2025

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