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KENNETH J RITTER MD PLLC NPI 1174791974


NPI Information

NPI: 1174791974
Provider Name: KENNETH J RITTER MD PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1310 SOUTH UNION
A-201
TACOMA, WA
ZIP 98405
Phone: (253) 272-3149
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KENNETH J RITTER MD PLLC is an adult medicine family medicine in Tacoma, WA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. KENNETH J RITTER MD PLLC NPI is 1174791974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1310 SOUTH UNION
A-201
TACOMA, WA
ZIP 98405
Phone: (253) 272-3149
Fax: (253) 272-3348

The provider's authorized official is Kenneth J Ritter .
The authorized official title is Owner and has the following contact phone number (253) 272-3149.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 11/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult Medicine05834WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A08588MEDICARE UPINWASHINGTON
2AB3636702MEDICARE OSCAR/CERTIFICATIONWASHINGTON
31726900MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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