Individual
MRS. KIM RIDENHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, MBA
Contact information
Practice address
829 13TH CT SW, LARGO, FL 33770-4472
(727) 398-6661
Mailing address
10 000 BAY PINES BLVD., BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3206512
FL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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