Individual provider · Type 1 NPI

Kendel Rae Ridgeway, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1740976901 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2196

Call (313) 745-5533 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740976901

Kendel Rae Ridgeway, DO's National Provider Identifier is 1740976901, issued on Apr 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 12, 2023.