Individual
KAMIA RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 S ELM ST, WEST CARROLLTON, OH 45449-2213
(781) 768-7000
Mailing address
1141 S ELM ST, WEST CARROLLTON, OH 45449-2213
(937) 603-9456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
360138
OH
163WC0200X
Critical Care Medicine Registered Nurse
360138
OH
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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