Provider Demographics
NPI:1871252551
Name:RIPPETOE, KENNETH BRUCE (RT(R)(VI))
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:BRUCE
Last Name:RIPPETOE
Suffix:
Gender:M
Credentials:RT(R)(VI)
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Mailing Address - Street 1:2200 CHILDRENS WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0034
Mailing Address - Country:US
Mailing Address - Phone:615-936-0024
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0034
Practice Address - Country:US
Practice Address - Phone:615-936-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology