Individual
KELLI KNOX RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1543 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 821-9308
(850) 522-8354
Mailing address
1543 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 821-9308
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA440
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913716
—
AL
05
—
009913717
—
AL
05
—
529920250
—
AL
Enumeration date
02/13/2007
Last updated
02/08/2013
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