Individual
KIMBERLY C RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16 OFFICE PARK DR, SUITE 21, HATTIESBURG, MS 39402-6020
(601) 296-9191
(601) 296-9190
Mailing address
16 OFFICE PARK DR, SUITE 21, HATTIESBURG, MS 39402-6020
(601) 296-9191
(601) 296-9190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3185
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08832052
—
MS
Enumeration date
08/30/2006
Last updated
07/09/2007
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