Individual
KELLY RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 980-3708
Mailing address
8046 GLENDALE RD, CHEVY CHASE, MD 20815-5901
(301) 980-3708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1030666
DC
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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