Ridenour, Karen L

Ridenour, Karen L is an individual health care provider with primary practice located at 701 N First St Memorial Health System Midwest Emergency Dept Specialists, Springfield IL 62781-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ridenour, Karen L can be contacted via phone (618) 498-7108.

Contact Information

Primary practice address
701 N First St Memorial Health System Midwest Emergency Dept Specialists Springfield IL 62781-0001
Phone: (618) 498-7108
Fax: (618) 498-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 209009534 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009534 Illinois

Profile Details

NPI number 1720347933
LBN Legal business name Ridenour, Karen L
Credentials F.N.P., BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated Jan 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720347933 NPPES
Illinois MEDICAID 209009534

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