Individual
KRISTIN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PA-C
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-8708
Mailing address
1830 E MONUMENT ST, SUITE 6-100, BALTIMORE, MD 21287-0020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05827
MD
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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