Individual
ALICIA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(502) 888-1988
(812) 944-3594
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002496A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023952
—
IN
05
—
7101055810
—
KY
Enumeration date
03/06/2019
Last updated
02/16/2026
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