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Individual
MS. KYRIE GIANNE RITZDORF
Active
Individual
MS. KYRIE GIANNE RITZDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01326
KS
363A00000X
Physician Assistant
2574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200633200A
—
KS
05
—
3000433763001
—
KS
Enumeration date
09/23/2009
Last updated
03/30/2023
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