| Kenneth J Ritter Md Pllc | |
|
1310 South Union A-201 Tacoma WA 98405 | |
| (253) 272-3149 | |
| (253) 272-3348 |
| Full Name | Kenneth J Ritter Md Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1310 South Union, Tacoma, Washington |
| Authorized Official Name and Position | Kenneth J Ritter (OWNER) |
| Authorized Official Contact | 2532723149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Ritter Md Pllc 1310 So. Union Ave A-201 Tacoma WA 98405 Ph: (253) 272-3149 | Kenneth J Ritter Md Pllc 1310 South Union A-201 Tacoma WA 98405 Ph: (253) 272-3149 |
| NPI Number | 1174791974 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174791974 | NPI | - | NPPES |
| 1726900 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 05834 (Washington) | Primary |
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