Individual
MARY K. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
086773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424503001
—
MO
Enumeration date
12/22/2008
Last updated
12/22/2020
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