Provider Demographics
NPI:1821379280
Name:RITCHIE, NATHANIEL KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:KEITH
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TWIN OAKS CIR
Mailing Address - Street 2:#2
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8447
Mailing Address - Country:US
Mailing Address - Phone:502-875-3200
Mailing Address - Fax:502-875-2425
Practice Address - Street 1:103 TWIN OAKS CIR
Practice Address - Street 2:#2
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8447
Practice Address - Country:US
Practice Address - Phone:502-875-3200
Practice Address - Fax:502-875-2425
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2012-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK029030Medicare PIN