Kia B Riddick is a Surgical in Virginia Beach, Virginia. Kia B Riddick practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kia B Riddick is 1184887119. The last update date is 2022-07-12.
Kia B Riddick's current location address is 3432 Holland Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574681855. The mailing address for Kia B Riddick is 3432 Holland Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kia B Riddick |
|---|---|
| Address | 3432 Holland Rd, Virginia Beach, Virginia |
| Phone Number | 7574681855 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184887119 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2022-07-12 |
Provider Mailing Address Detail
| Address | 3432 Holland Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234524846 |
| Phone Number | 7574681855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 110002819 |
|
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 |
|---|---|---|---|
| C05501 | VA | GROUP PTAN# | |
| MC10656 | VA | MEDICARE PTAN |
Post Comment/ Review Below
What is the Kia B Riddick's 1184887119?
The Kia B Riddick's NPI (National Provider Identifier) Number is 1184887119. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kia B Riddick's facilities are situated?
The facilities of Kia B Riddick are physically located at the following address: 3432 Holland Rd, Virginia Beach, VA, 234524846.
What is Kia B Riddick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kia B Riddick's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184887119 to Kia B Riddick?
The Kia B Riddick received its 1184887119 assignment from the Centers for Medicare & Medicaid Services on 2008-07-09.
When was the information pertaining to Kia B Riddick most recently updated or revised?
The details related to Kia B Riddick, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-12.
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