Provider Demographics
NPI:1114659448
Name:RAGSDALE, ROSS ALAN
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:ALAN
Last Name:RAGSDALE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 DEMOCRAT DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-9214
Mailing Address - Country:US
Mailing Address - Phone:502-385-0695
Mailing Address - Fax:
Practice Address - Street 1:251 DEMOCRAT DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-9214
Practice Address - Country:US
Practice Address - Phone:502-385-0695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator