Individual
KIRA LEIGH RIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1105 NORTHWEST BLVD., FRANKLIN, LA 70538
(337) 907-6338
Mailing address
1105 NORTHWEST BLVD., FRANKLIN, LA 70538
(337) 907-6338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312291
—
LA
01
—
1508948852
NPI
LA
Enumeration date
10/19/2006
Last updated
06/08/2021
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