Individual
KADIN RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 CHERRY AVE, MC KENZIE, TN 38201-1769
(731) 352-4000
Mailing address
6025 BRIARPATCH LAKE RD, PARIS, TN 38242-6426
(970) 215-0512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2900
TN
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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