Individual
KATIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
552 OSCAR BROWN LN E, BENTON, KY 42025-6186
(270) 564-3855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3018568
KY
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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