Riley, Kelley Ann

Riley, Kelley Ann is an sole proprietor health care provider with primary practice located at 4328 Gresham St , San Diego CA 92109. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Riley, Kelley Ann can be contacted via phone (860) 874-4409.

Contact Information

Primary practice address
4328 Gresham St San Diego CA 92109
Phone: (860) 874-4409
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 3782 California

Profile Details

NPI number 1669906178
LBN Legal business name Riley, Kelley Ann
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2017
Last updated Apr 12th, 2017 - about 9 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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