Individual
ALICIA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
Mailing address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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