Individual
ANGELA K RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
900 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 331-0774
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 525-0005
(859) 525-8806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002496
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087978
—
OH
01
—
500008873
PALMETTO GBA-RAILROAD MEDICARE
—
05
—
78024965
—
KY
Enumeration date
05/24/2005
Last updated
09/04/2018
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