Individual
KAITLIN RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408
Mailing address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 762-7408
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022-00246
NC
208800000X
Urology Physician
D0087688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-00246
NC MEDICAL BOARD
NC
Enumeration date
05/21/2014
Last updated
07/27/2022
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