| NPI | 1588949234 |
|---|---|
| Doing Business As | RIVER RIDGE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KEVIN K KENDALL Practice Director 540-951-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: VA 1012202352) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2014-06-10 |