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NPI Code Detail

MEDICARE: KIMBERLY JONES RITENOUR PNP

MEDICARE: KIMBERLY JONES RITENOUR PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0200XPediatric Registered Nurse0024086007VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467549352
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY JONES RITENOUR PNP
Provider Business Mailing Address
First Line : 2924 BROOK RD
Second Line : CHILDREN'S HOSPITAL CREDENTIALING DEPT
City : RICHMOND
State : VA
Zip : 23220-1215
Country : US
Telephone Number : 804-321-7474
Fax Number : 804-228-5210
Provider Business Practice Location Address
First Line : 2924 BROOK RD
Second Line : CHILDREN'S HOSPITAL
City : RICHMOND
State : VA
Zip : 23220-1215
Country : US
Telephone Number : 804-321-7474
Fax Number : 804-228-5210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 09/20/2010

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