Individual
KRISTEN F RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D02X7
FL BCBS
FL
Enumeration date
08/11/2006
Last updated
05/26/2022
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