Search › Indiana › 363LF0000X
Kenneth Raderstorf, NP
NPI 1023682416 · on the registry since 2021
Practice
- Address
- 3301 County Road 6 E
Elkhart, IN 46514 - Phone
- (574) 266-5342
- Fax
- (574) 266-5847
- Organisation at this address
- Beacon Medical Group, Inc.
Beacon Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 6913 N Main St, Granger, IN
- 2222 Rieth Blvd Ste 104, Goshen, IN
- 1753 Fulton St, Elkhart, IN
- 206 W Warren St, Middlebury, IN
- 2222 Rieth Blvd Ste 100, Goshen, IN
- 1815 E Ireland Rd, South Bend, IN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana