Individual
KEVIN ALAN RISDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC SLP
Contact information
Practice address
2371 VEEDOL DR, EAST WENATCHEE, WA 98802-9020
(509) 669-2025
Mailing address
2371 VEEDOL DR, EAST WENATCHEE, WA 98802-9020
(509) 669-2025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60271740611
WA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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