Individual
KELSEY ELIZABETH RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3131 NEWMARK DR, MIAMISBURG, OH 45342-5448
(937) 202-0061
Mailing address
1154 BRENDA KAY CT, SPRINGFIELD, OH 45503-2317
(937) 591-2624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
391761
OH
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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