Organization · Type 2 NPI

Ridgewall LLC

Multi-Specialty Clinic/Center · Richmond, KY

NPI number 1477471605 Active

Practice location

212 N 2nd St Ste 100
Richmond, KY 40475-1408

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1477471605

Ridgewall LLC's National Provider Identifier is 1477471605, issued on Jul 7, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Richmond, KY. The record was last updated on Jul 7, 2026.