Provider Demographics
NPI:1245512870
Name:RINGGER, KENT PAUL (CAA)
Entity type:Individual
Prefix:MR
First Name:KENT
Middle Name:PAUL
Last Name:RINGGER
Suffix:
Gender:M
Credentials:CAA
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Mailing Address - Street 1:5307 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2536
Mailing Address - Country:US
Mailing Address - Phone:727-845-1736
Mailing Address - Fax:727-849-0759
Practice Address - Street 1:5307 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2536
Practice Address - Country:US
Practice Address - Phone:727-845-1736
Practice Address - Fax:727-849-0759
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2016-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011029434367H00000X
NMAA2013-001367H00000X
FLAA 337367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2455064Medicaid
NM2455064Medicaid
MO2455064Medicaid