Individual
KAYVON SCOTT RIGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
32744
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112975G795
UCARE
—
01
—
32130000
WISC MEDICAID
—
05
—
413318800
—
MN
01
—
550S7RI
BLUE CROSS BLUE SHIELD
—
01
—
901833
MEDICA
—
01
—
969991006146
PREFERREDONE
—
01
—
HP14249
HEALTHPARTNERS
—
Enumeration date
08/15/2006
Last updated
05/22/2017
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