Individual
KAITLIN RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARPN
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(303) 803-8520
Mailing address
3815 N 158TH ST, OMAHA, NE 68116-2849
(303) 803-8520
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
116097
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
06/18/2025
Last updated
07/09/2025
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