KENNETH RIDDLE NPI 1962074203

NPI Information

  • NPI: 1962074203
  • Provider Name: KENNETH RIDDLE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 135 TECHNOLOGY DR STE 312
    CANONSBURG, PA
    ZIP 15317
  • Phone: (724) 413-4306

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NPI Details

Kenneth Riddle is a professional counselor in Canonsburg, PA with 13 years of experience. Kenneth Riddle NPI is 1962074203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 TECHNOLOGY DR STE 312
CANONSBURG, PA
ZIP 15317-549
Phone: (724) 413-4306

The NPI 1962074203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 1/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC007823PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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