Individual
KIMBERLY S RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2716 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 340-9832
Mailing address
2716 N TENAYA WAY, LAS VEGAS, NV 89128-0424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN001215
NV
Other
Enumeration date
09/08/2010
Last updated
05/14/2014
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