Kristin Ridenour, MPH, PA-C
Physician Assistant, Medical in Baltimore, MD. Individual provider (NPI-1).
NPI number1013391986
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1013391986
- Entity type
- Individual (NPI-1)
- Name
- Kristin Ridenour
- Credential
- MPH, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2015
- Last updated
- Jul 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C05827 | MD | Yes |
Practice location
1800 Orleans StBaltimore, MD 21287-0010
Phone 410-955-8708
Mailing address
1830 E Monument StSuite 6-100
Baltimore, MD 21287-0020
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