Individual
JOHN J RILEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
411 NICHOLS RD, SUITE 174, KANSAS CITY, MO 64112-2000
(816) 561-7388
(816) 561-9921
Mailing address
411 NICHOLS RD, SUITE 174, KANSAS CITY, MO 64112-2000
(816) 561-7388
(816) 561-9921
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
595
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15276025
BCBSKC
MO
05
—
1548234586
—
MO
01
—
7981
COVENTRY
MO
01
—
P00952949
RR MEDICARE
MO
Enumeration date
01/30/2006
Last updated
03/22/2012
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