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Individual

MS. KRISTEN RIDGEWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(443) 370-6046
Mailing address
277 LOWER MAGOTHY BEACH RD, SEVERNA PARK, MD 21146-2164

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008648
MD

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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