Individual
KRISTIN RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
580 NEW WAVERLY PL, SUITE 120, CARY, NC 27511-7406
(919) 858-8360
(919) 858-8408
Mailing address
580 NEW WAVERLY PL, SUITE 120, CARY, NC 27511-7406
(919) 858-8360
(919) 858-8408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104124
NC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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