Individual provider · Type 1 NPI

Kelly Riley, LMP

Specialist · Puyallup, WA

NPI number 1053647701 Active

Practice location

1011 E Main Ave Ste 201
Puyallup, WA 98372-6777

Call (253) 845-2013 Map

Fax (253) 845-2030

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00015467 (WA)

Specialist: 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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About NPI 1053647701

Kelly Riley, LMP's National Provider Identifier is 1053647701, issued on Oct 29, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Puyallup, WA. The record was last updated on Oct 29, 2009.