Riddick, Kia B

Riddick, Kia B is an individual health care provider with primary practice located at 3432 Holland Rd , Virginia Beach VA 23452-4846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Riddick, Kia B can be contacted via phone (757) 468-1855.

Contact Information

Primary practice address
3432 Holland Rd Virginia Beach VA 23452-4846
Phone: (757) 468-1855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002819 Virginia

Profile Details

NPI number 1184887119
LBN Legal business name Riddick, Kia B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184887119 NPPES
Virginia Other C05501 GROUP PTAN#
Virginia Other MC10656 GROUP PTAN#

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