Provider Demographics
NPI:1902242282
Name:REDDEN, RALPH FREDERICK (DVM)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:FREDERICK
Last Name:REDDEN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383
Mailing Address - Country:US
Mailing Address - Phone:859-873-5294
Mailing Address - Fax:859-873-6589
Practice Address - Street 1:8235 MCCOWANS FERRY RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-9636
Practice Address - Country:US
Practice Address - Phone:859-873-5294
Practice Address - Fax:859-873-6589
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYNS-877174M00000X
UT7416249-2801174M00000X
OHVET 3672174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian