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Individual

MRS. KATHLEEN MARIE RILEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 524-1218
(719) 526-7673
Mailing address
5807 MESA MOUNTAIN WAY, COLORADO SPRINGS, CO 80922-3451
(719) 591-2343

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
93853
CO

Other

Enumeration date
02/08/2006
Last updated
07/08/2007
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