Individual
KRISTA L RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
1100 9TH ST STE F, VIENNA, WV 26105-2176
(304) 514-2031
Mailing address
1100 9TH ST STE F, VIENNA, WV 26105-2176
(304) 514-2031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
09/12/2025
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