Individual
MRS. KENDAL DE RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
11218 COUNTRY PL, OAKTON, VA 22124-1303
(703) 980-0751
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R247229
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0102531-C-CRN
CO
Other
Enumeration date
06/29/2021
Last updated
07/01/2024
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