person
Mrs. Kelly Riley, LMP
Specialist in Puyallup, Washington
NPI 1053647701

Kelly Riley is a Specialist based in Puyallup, WA. Kelly Riley practices in Puyallup, WA and has the professional credentials of LMP. The NPI Number for Kelly Riley is 1053647701 and holds a License No. MA00015467 (Washington).

The current practice location address for Kelly Riley is 1011 E Main Ave Ste 201, Puyallup, WA and can be reached out via phone at 253-845-2013 and via fax at 253-845-2030.

Location: 1011 E Main Ave Ste 201, Puyallup, WA, 98372-6777
person
Provider Profile Details
NPI Number
1053647701
Provider Name
Kelly Riley
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1011 E Main Ave Ste 201, Puyallup, WA, 98372-6777
Phone Number
253-845-2013
Fax Number
253-845-2030
Provider Enumeration Date
10/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00015467 01 WA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1011 E Main Ave Ste 201
City
State
Zip
98372-6777
Phone Number
253-845-2013
Fax Number
253-845-2030
person
Provider Business Mailing Address Details
Address
1011 E Main Ave Ste 201
City
State
Zip
98372-6777
Phone Number
253-845-2013
Fax Number
253-845-2030
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA00015467 (Washington)
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.
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