Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ridgeway

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790547347

Mary Ridgeway is a Student in an Organized Health Care Education/Training Program in Kirksville, Missouri. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

800 W Jefferson St
Kirksville, MO 63501-1443
Phone: (660) 626-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790547347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address911 Capwood Ave, Litchfield, MN 55355-2542

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