Active NPI
Ralph Frederick Redden, DVM
- Veterinarian
- Versailles, KY
National Provider Identifier
1902242282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- NS-877
- Practice address
- 8235 McCowans Ferry Rd
Versailles, KY 40383-9636 - Phone
- (859) 873-5294
- Fax
- (859) 873-6589
- NPI assigned
- May 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | NS-877 | KY | Primary |
| Veterinarian | 174M00000X | 7416249-2801 | UT | |
| Veterinarian | 174M00000X | VET 3672 | OH |
Addresses
Primary practice location
8235 McCowans Ferry Rd
Versailles, KY 40383-9636
Mailing address
PO Box 507
Versailles, KY 40383
Phone (859) 873-5294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NS-877 | KY | MD | Veterinarian |
| VET 3672 | OH | MD | Veterinarian |
| 7416249-2801 | UT | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1902242282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "40383",
"telephone_number": "859-873-5294",
"fax_number": "859-873-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 MCCOWANS FERRY RD",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403839636",
"telephone_number": "859-873-5294",
"fax_number": "859-873-6589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDEN",
"first_name": "RALPH",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "KY",
"license": "NS-877",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "UT",
"license": "7416249-2801",
"primary": false
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "OH",
"license": "VET 3672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.