MRS. KELLY RILEY


Address: 1011 E Main Ave Ste 201, Puyallup, WA 98372-6777
Phone: 2538452013

MRS. KELLY RILEY (NPI# 1053647701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053647701
Entity Type Individual
Full Name MRS. KELLY RILEY
Credential LMP
Practice Address 1011 E Main Ave Ste 201
Puyallup
WA 98372-6777
Practice Telephone 2538452013
Practice Fax Number 2538452030
Mailing Telephone 2538452013
Mailing Fax Number 2538452030
Enumeration Date 2009-10-29
Last Update Date 2009-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA00015467 WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA STATE LICENSE MA00015467 01

Other Providers KELLY RILEY

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1548280365 Kelly Monique Riley Optometrist 114 S 5th St, Brownfield, TX 79316 2006-07-21
1780178046 Kelly Riley Social Worker 1219 Jefferson Ave, Toledo, OH 43604-5836 2018-06-20
1336496264 Kelly Jo Riley Dentist 7725 Ne Highway 99, Vancouver, WA 98665-8834 2012-08-09
1437361656 Kelly Ann Riley Counselor 710 E Grand River Ave, Ste 1, Brighton, MI 48116-1820 2007-05-03
1609942051 Kelly Ann Riley Counselor 4420 Hotel Circle Ct, Suite 235, San Diego, CA 92108-3411 2006-11-28

Office Location

Street Address 1011 E MAIN AVE STE 201
City PUYALLUP
State WA
Zip Code 98372-6777

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371532 Jeffrey Allen Zhan Urology Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 2019-11-21
1447811419 Serenity Counseling & Consulting, LLC Marriage & Family Therapist 102 23rd St Se, Unit B, Puyallup, WA 98372 2019-06-21
1316401565 Katherine Juarez Davidson Nurse Practitioner 325 E Pioneer # A145, Puyallup, WA 98372 2019-01-22
1679041404 Cara Ann Lundin Nurse Practitioner 11926 43rd St Crt E, Edgewood, WA 98372 2018-11-09
1104392109 Megan Black Occupational Therapist 40 29th St Ne, Puyallup, WA 98372 2018-10-17
1063919470 Myriah Shekinah Olakpe Occupational Therapist 516 Se 23rd Ave, Puyallup, WA 98372 2018-04-11
1902330202 Tyler Girdler Student in an Organized Health Care Education/Training Program 1322 3rd Street Se Suite 240, Puyallup, WA 98372 2017-04-13
1770039471 Mahalakshmi Hariharan Pharmacist 2117 28th St Se, Puyallup, WA 98372 2016-09-01
1801241112 Nawazish Ali Internal Medicine 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 2016-04-25
1932567559 Denice L. Voss Physical Therapist 400 29th St. Ne, Puyallup, WA 98372 2016-02-10
Find all providers in zip 98372

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124643978 Roxanne Grant-duell Specialist 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 2020-06-08
1568903664 Lolita Arevalo Specialist 2535 S Meridian Apt W104, Puyallup, WA 98373-2735 2017-03-09
1578918207 Audra Sisak Specialist 7711 156th Street Ct E, Puyallup, WA 98375-7653 2016-05-02
1104286921 Karen Escudero Specialist 7503 144th St E, Puyallup, WA 98375-8269 2016-03-07
1346650967 Bethany Bevier Specialist 502 14th St Sw, Puyallup, WA 98371-5758 2014-05-05
1598106114 Susan Carol Richards Specialist 2717 E Main, Puyallup, WA 98372-3165 2013-07-11
1487931945 Dawn K. Hammer Specialist 105 W Main Ste A, Puyallup, WA 98371-5388 2011-11-12
1134412596 Jackie Marie Bennett Specialist 10508 123rd Street Ct E, Puyallup, WA 98374-2626 2011-05-18
1023336070 Whitney Lin Smith Specialist 8112 112th Street Ct E, Puyallup, WA 98373-7815 2010-05-13
1194057604 Ruth Keheley Burnett Specialist 818 39th Ave Sw Ste A, Puyallup, WA 98373-3308 2010-02-08
Find all providers in PUYALLUP

Competitor

Search similar providers

City PUYALLUP
Zip Code 98372

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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