Kevin W Riddleberger in Longmont - Surgical

Kevin W Riddleberger - NPI 1396745683

Kevin W Riddleberger is a Surgical in Longmont, Colorado. Kevin W Riddleberger practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kevin W Riddleberger is 1396745683. The last update date is 2010-11-09.

Kevin W Riddleberger's current location address is 1551 Professional Ln, Longmont, Colorado. You can contact this provider via phone number 3037721600 and fax number 3037729317. The mailing address for Kevin W Riddleberger is 1551 Professional Ln, Longmont, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin W Riddleberger
Address 1551 Professional Ln, Longmont, Colorado
Phone Number 3037721600
Fax Number 3037729317
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1396745683
Provider Enumeration Date 2005-07-28
Last Updated Date 2010-11-09

Provider Mailing Address Detail

Address 1551 Professional Ln
City Longmont
State Colorado (CO)
Post Code 805016972
Phone Number 3037721600
Fax Number 3037729317

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 1801
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
54570867 CO --

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FAQs about Kevin W Riddleberger

What is the unique identifier code issued to Kevin W Riddleberger by the Centers for Medicare & Medicaid Services?

The Kevin W Riddleberger has been assigned the NPI (National Provider Identifier) 1396745683. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kevin W Riddleberger's facilities are geographically located?

The facilities of Kevin W Riddleberger are physically situated at the following location: 1551 Professional Ln, Longmont, CO, 805016972.

What is Kevin W Riddleberger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kevin W Riddleberger's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

When was the Kevin W Riddleberger's 1396745683 issued?

The Kevin W Riddleberger's 1396745683 was issued on 2005-07-28.

As of what date was the information pertaining to Kevin W Riddleberger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kevin W Riddleberger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-09.

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