Individual
KATHERINE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 TAMARACK AVE STE 200, SOUTH WINDSOR, CT 06074-5560
(860) 646-1157
Mailing address
2600 TAMARACK AVE STE 200, SOUTH WINDSOR, CT 06074-5560
(203) 641-0800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63724
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/28/2015
Last updated
01/22/2020
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