Individual
MS. TRACY LEE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
7300 ERIKA CT, PLEASANT VALLEY, MO 64068-9000
(816) 781-6506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2005009602
MO
164W00000X
Licensed Practical Nurse
24-35599-081
KS
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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