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Individual

KRISTIN RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5204
Mailing address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008368
MI
363AM0700X
Medical Physician Assistant
5601008368
MI

Other

Enumeration date
09/06/2017
Last updated
04/17/2025
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