Individual
KATHY LOU RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BS
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1099
(845) 876-2020
Mailing address
6339 MILL ST, PO BOX 5005, RHINEBECK, NY 12572-1427
(845) 871-1099
(845) 876-2020
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
453259-1
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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