Provider Demographics
NPI:1558595553
Name:RITNORAKAN, KANYARAT KATHY
Entity Type:Individual
Prefix:
First Name:KANYARAT
Middle Name:KATHY
Last Name:RITNORAKAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 UNIVERSITY AV
Mailing Address - Street 2:
Mailing Address - City:ST PAUL
Mailing Address - State:NC
Mailing Address - Zip Code:55104
Mailing Address - Country:US
Mailing Address - Phone:651-232-3021
Mailing Address - Fax:651-232-4390
Practice Address - Street 1:1700 UNIVERSITY AV
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104
Practice Address - Country:US
Practice Address - Phone:651-232-3021
Practice Address - Fax:651-232-4390
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter