Individual provider · Type 1 NPI

Kristen L. Rider, PA-C

Surgical Physician Assistant · Madison, WI

NPI number 1881903540 Active

Practice location

600 Highland Ave
Madison, WI 53792

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 202 S Park St, Madison, WI 53715-1507 · (608) 417-5454
  • 202 S Park St, Madison, WI 53715-1507 · (608) 417-5454

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2681 (WI)
Surgical Physician Assistant Primary 363AS0400X2681-23 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1881903540

Kristen L. Rider, PA-C's National Provider Identifier is 1881903540, issued on Sep 29, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Feb 17, 2021.