Provider Demographics
NPI:1689263493
Name:RITTER, KEMMY (DC)
Entity Type:Individual
Prefix:DR
First Name:KEMMY
Middle Name:
Last Name:RITTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 ATLANTIC CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-4009
Mailing Address - Country:US
Mailing Address - Phone:732-240-0100
Mailing Address - Fax:732-240-2543
Practice Address - Street 1:701 ATLANTIC CITY BLVD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08722-4009
Practice Address - Country:US
Practice Address - Phone:732-240-0100
Practice Address - Fax:732-240-2543
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00777300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor