Doctor Name: | KRISTEN M RANZENBERGER |
NPI Number: | 1417187170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 49490 |
Business Practice Address: | 2601 Kentucky Ave Suite 101 Paducah, KY - 420033817 |
Business Phone Number: | 2705754600 |
Business Fax Number: | 2705752642 |
Mailing Address: | Po Box 950248, LOUISVILLE |
State: | KY |
Postal Code: | 402950248 |
Phone Number: | 5024895730 |
Fax Number: | 5024895753 |
NPI Enumeration Date: | 07/15/2009 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 49490 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |