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Mrs. Kia B Riddick, PA
Surgical Physician Assistant in Virginia Beach, Virginia
NPI 1184887119

Kia B Riddick is a Surgical Physician Assistant based in Glen Allen, VA and is specialized in Surgical. Kia B Riddick practices in Virginia Beach, VA and has the professional credentials of PA. The NPI Number for Kia B Riddick is 1184887119 and holds a License No. 0110002819 (Virginia).

The current practice location address for Kia B Riddick is 3432 Holland Rd, Virginia Beach, VA and can be reached out via phone at 757-468-1855. You can also correspond with Kia B Riddick through the mailing address at 5000 COX RD STE 124, GLEN ALLEN, VA - 23060-9263 (mailing address contact number: ).

Location: 3432 Holland Rd, Virginia Beach, VA, 23060-9263
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Provider Profile Details
NPI Number
1184887119
Provider Name
Kia B Riddick
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3432 Holland Rd, Virginia Beach, VA, 23060-9263
Phone Number
757-468-1855
Fax Number
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C05501 01 VA GROUP PTAN#
MC10656 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3432 Holland Rd
City
State
Zip
23452-4846
Phone Number
757-468-1855
Fax Number
person
Provider Business Mailing Address Details
Address
3432 Holland Rd
City
State
Zip
23452-4846
Phone Number
757-468-1855
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110002819 (Virginia)
Definition
Definition to come...
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