Individual
KIMBERLY RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22443 SE 240TH ST STE 206, MAPLE VALLEY, WA 98038-5879
(425) 358-3070
Mailing address
14910 165TH PL SE, RENTON, WA 98059-8817
(360) 261-1075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
06/24/2020
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