KENNETH RIDDLE III
NPI 1962074203
Counselor - Professional in Canonsburg, PA
About Kenneth Riddle Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH RIDDLE III (NPI 1962074203) is an individual professional provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (PC007823) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Riddle Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Riddle's NPI number?
The NPI number for Kenneth Riddle is 1962074203. It was assigned to this individual provider in the NPPES registry on July 15, 2021.
Where is Kenneth Riddle located?
Kenneth Riddle practices at 135 Technology Dr Ste 312, Canonsburg, PA 15317. The listed phone number is (724) 413-4306.
What is Kenneth Riddle's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kenneth Riddle enrolled in Medicare?
Yes. Kenneth Riddle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kenneth Riddle was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Riddle III · NPI 1962074203
Professional provider in Canonsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 15, 2021.
## Identity
- **NPI:** 1962074203 (Entity type: Individual)
- **Enumerated:** July 15, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC007823 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 TECHNOLOGY DR STE 312, Canonsburg, PA 15317-9549
- **Phone:** (724) 413-4306
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 30, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1962074203) · Data from the CMS NPPES public registry.