Provider Demographics
NPI:1417187170
Name:RANZENBERGER, KRISTEN M (DO)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:RANZENBERGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 HENDERSONVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3245
Mailing Address - Country:US
Mailing Address - Phone:828-505-7033
Mailing Address - Fax:828-505-7347
Practice Address - Street 1:1550 HENDERSONVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3245
Practice Address - Country:US
Practice Address - Phone:828-505-7033
Practice Address - Fax:828-505-7347
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY038502083X0100X
CO49490208D00000X
NC2018-000102083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1417187170Medicaid
NC1417187170Medicaid