Individual
KELLY RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
9500 EUCLID AVE, MICU G62, CLEVELAND, OH 44195-0001
(216) 444-4059
Mailing address
9500 EUCLID AVE, MICU G62, CLEVELAND, OH 44195-0001
(216) 444-4059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13756-NP
OH
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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