Provider Demographics
NPI:1639921711
Name:RITCHIE, KELSEE (LBA)
Entity type:Individual
Prefix:
First Name:KELSEE
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:
Credentials:LBA
Other - Prefix:
Other - First Name:KELSEE
Other - Middle Name:
Other - Last Name:HAMMONDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2312 WALCOT WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-9135
Mailing Address - Country:US
Mailing Address - Phone:606-923-2796
Mailing Address - Fax:
Practice Address - Street 1:2312 WALCOT WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-9135
Practice Address - Country:US
Practice Address - Phone:606-923-2796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291317103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst