Riley, Angela K

Riley, Angela K is an individual health care provider with primary practice located at 900 Medical Village Dr , Edgewood KY 41017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riley, Angela K can be contacted via phone (859) 331-0774.

Contact Information

Primary practice address
900 Medical Village Dr Edgewood KY 41017
Phone: (859) 331-0774
Fax: (859) 578-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002496 Kentucky

Profile Details

NPI number 1649273525
LBN Legal business name Riley, Angela K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649273525 NPPES
Ohio MEDICAID 0087978
Ohio Other 500008873
Ohio MEDICAID 78024965

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