Individual
KEVIN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6355 WALKER LN STE 512, ALEXANDRIA, VA 22310-3251
(703) 971-3701
Mailing address
921 PATRICK HENRY DR, ARLINGTON, VA 22205-1438
(703) 635-5339
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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