TODD ANTHONY RIDGE

WICHITA, KS
NPI1144494717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: TX  610160)
Enumeration Date2008-04-15
Last Update Date2020-01-15
Business Address
TODD ANTHONY RIDGE ANP
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 888-878-6881
Mailing Address
TODD ANTHONY RIDGE ANP
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 888-878-6881