Provider Demographics
NPI:1982084695
Name:RIGGS, KIMBERLY
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 WHITTINGTON PKWY
Mailing Address - Street 2:SUITE 020
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4923
Mailing Address - Country:US
Mailing Address - Phone:800-442-0087
Mailing Address - Fax:
Practice Address - Street 1:312 WHITTINGTON PKWY
Practice Address - Street 2:SUITE 020
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4923
Practice Address - Country:US
Practice Address - Phone:800-442-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator