Kedrowski, Mary Ratliff
Kedrowski, Mary Ratliff is an sole proprietor health care provider with primary practice located at 3140 Nw Medical Center Ln , Lake City FL 32055-4717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kedrowski, Mary Ratliff can be contacted via phone (386) 755-6682.Contact Information
Primary practice address
3140 Nw Medical Center Ln
Lake City FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS15936 | Florida |
Profile Details
| NPI number | 1629483508 |
|---|---|
| LBN Legal business name | Kedrowski, Mary Ratliff |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Feb 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629483508 | NPPES |
| Florida | MEDICAID | OS15936 |
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