Individual
RILEY NICOLE FEDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
3221 MANTILLA DR, LEXINGTON, KY 40513-1160
(859) 351-2421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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