Individual
KEVIN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
321 NORTH WARREN STREET, TRENTON, NJ 08618
(609) 278-5900
Mailing address
321 NORTH WARREN STREET, TRENTON, NJ 08618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00652900
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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