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Individual

RONALD RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
RT 5 BOX 800, SANDY HOOK, KY 41171
(606) 738-6163
(606) 738-5030
Mailing address
P O BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4758
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000377818
ANTHEM BCBS
05
30610026
KY
Enumeration date
10/04/2006
Last updated
07/08/2007
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