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Individual

MRS. GINA W RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP

Contact information

Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
515 OAK BRANCH RD, LOUISVILLE, KY 40245-5131
(502) 287-3708

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4011544
KY

Other

Enumeration date
01/08/2024
Last updated
04/19/2024
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