Provider Demographics
NPI:1215609045
Name:RITCHIE, KATIE PAIGE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:PAIGE
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 SNOW WATCH WAY APT 203
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-2991
Mailing Address - Country:US
Mailing Address - Phone:606-923-0999
Mailing Address - Fax:
Practice Address - Street 1:1503 SNOW WATCH WAY APT 203
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-2991
Practice Address - Country:US
Practice Address - Phone:606-923-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program