Riley, W K

Riley, W K is an individual health care provider with primary practice located at 1308 E Kiehl Ave , Sherwood AR 72120-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Riley, W K can be contacted via phone (501) 835-0703.

Contact Information

Primary practice address
1308 E Kiehl Ave Sherwood AR 72120-3040
Phone: (501) 835-0703
Fax: (501) 834-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5230 Arkansas

Profile Details

NPI number 1558304659
LBN Legal business name Riley, W K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 6th, 2011 - about 15 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 1558304659 NPPES
Arkansas Other 0120355 UHC
Arkansas Other 4207517 UHC
Arkansas Other 54404 UHC
Arkansas Other 11172000040 UHC
Arkansas MEDICAID 104835001 UHC
Arkansas Other 284985 UHC

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