Riddle, Kelly Stewart

Riddle, Kelly Stewart is an individual health care provider with primary practice located at 2060 Rhino Xing , Milan TN 38358-5201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Riddle, Kelly Stewart can be contacted via phone (731) 613-2214.

Contact Information

Primary practice address
2060 Rhino Xing Milan TN 38358-5201
Phone: (731) 613-2214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1770263451
LBN Legal business name Riddle, Kelly Stewart
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2023
Last updated Aug 1st, 2024 - 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 1770263451 NPPES
Tennessee MEDICAID 0446631

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