Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN W RIDDLEBERGER, P.A.
ActiveKEVIN W RIDDLEBERGER, P.A. is a Surgical Physician Assistant healthcare provider located in LONGMONT, Colorado. NPI 1396745683 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LONGMONT, CO
Registration Details
- NPI Number
- 1396745683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (21.009916616631 yrs)
- Last Updated
- Nov 9, 2010
- Licenses
-
1801 (CO)1801 (CO)
Practice Information
- Address
-
1551 PROFESSIONAL LNSUITE 200LONGMONT, CO, 805016972Browse CO providers · Browse ZIP 80501
- Phone
- 3037721600
- Fax
- 3037729317
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Other Surgical Physician Assistant Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| ROBERT FARIAS | C.F.A. | 1740393131 |
| MRS. CHRISTIE LYNN MARCOTTE | CSFA | 1356440382 |
| LARA LOUISE HUNTER | PA | 1063714848 |
| MRS. BRITTANY GANSAR MCCARTY | PA-C | 1518389063 |
| SIKORA ELIZABETH CAIN | PA | 1851998967 |
| CAMILLE FREDE | PA | 1902513518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.