Chad Riddle CRNA

NPI 1023100831 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023100831
Gender Male
Enumeration Date 09/29/2006
Last Updated 01/22/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
LOUISVILLE KY, 40207-3814, US
Phone (502) 640-8349
Fax (502) 749-9202
Business Location
PO BOX 6899
LOUISVILLE KY, 40206-0899, US
Phone (502) 640-8349
Fax (502) 749-9202
Taxonomy Code 367500000X
License State Kentucky
License Number 1092142
Remove 1023100831 NPI Number

According to our database, Chad Riddle CRNA NPI is 1023100831, taxonomy code is 367500000X and license number is 1092142, license state is located at Kentucky. Chad Riddle CRNA physically located at 4034 Saint Ives Ct, Louisville KY, 40207-3814. NPI Number Chad Riddle CRNA has the Individual type.

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1023100831 NPI number is provided on an as is basis without warranty of any kind. 1023100831 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Riddle CRNA are for informational purposes only.