Individual
MRS. HEIDI RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1411 W 15TH ST STE 102, LIBERAL, KS 67901-2285
(620) 624-0142
Mailing address
1411 W 15TH ST, SUITE 102, LIBERAL, KS 67901-2285
(620) 624-0142
(620) 624-2660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45642
KS
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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