Individual
MRS. KENDAL DE RIDDER
Active
Individual
MRS. KENDAL DE RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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