Kenny Ratana, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R2H16 Issued in MO

Practice address

527 Benham St # B
Bonne Terre, MO 63628-1205

Phone

(573) 358-3833

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kamchai Ratanachinakorn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124014030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WESTMOUNT DR APT 84",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403502",
            "telephone_number": "573-358-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BENHAM ST # B",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281205",
            "telephone_number": "573-358-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATANA",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R2H16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMCHAI",
            "last_name": "RATANACHINAKORN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pharmax BT Inc
• Pharmax BT Inc
• Marissa L Phegley, LPC
• Mason Pratt, DC
• Primary Care of Bonne Terre LLC
• Rachel M Rayburn, FNP-C
• Daniel O. Reiter, D.C.
• Robert O Greenwald DDS PC
• Nedrea Kay Roberts, LPC, NCC
• Ronay Rodgers, FNP

• Diagnostic Radiology Physician in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.