Individual
KYLA RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5060
Mailing address
8710 CAMERON ST UNIT 1111, SILVER SPRING, MD 20910-3765
(516) 765-6067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001409
DC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/08/2022
Last updated
12/22/2022
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