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Individual

KIMBERLY DIANE RIEKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
9232 WESLEYAN RD, PHILADELPHIA, PA 19114-3815

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP033467
PA

Other

Enumeration date
07/11/2025
Last updated
07/30/2025
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