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Ken O Ridgeway, DO
Family Medicine Physician in Greentown, Indiana
NPI 1013998723

Ken O Ridgeway is a Family Medicine Physician based in Greentown, IN. Ken O Ridgeway practices in Greentown, IN and has the professional credentials of DO. The NPI Number for Ken O Ridgeway is 1013998723 and holds a License No. 2000340 (Indiana).

The current practice location address for Ken O Ridgeway is 712 W Main St, Greentown, IN and can be reached out via phone at 765-628-3319 and via fax at 765-628-5979.

Location: 712 W Main St, Greentown, IN, 46936-1045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013998723
Provider Name
Ken O Ridgeway
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
712 W Main St, Greentown, IN, 46936-1045
Phone Number
765-628-3319
Fax Number
765-628-5979
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100186930A 05 IN
000000183513 01 ANTHEM
10825830 01 CAQH
institution
Provider Business Practice Location Address Details
Address
712 W Main St
City
Greentown
State
Indiana
Zip
46936-1045
Phone Number
765-628-3319
Fax Number
765-628-5979
person
Provider Business Mailing Address Details
Address
712 W Main St
City
Greentown
State
Indiana
Zip
46936-1045
Phone Number
765-628-3319
Fax Number
765-628-5979
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2000340 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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