Individual provider · Type 1 NPI

Riley Nicole Feddock

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1922955103 Active

Practice location

780 Rose St
Lexington, KY 40536-0001

Mailing address

3221 Mantilla Dr
Lexington, KY 40513-1160

Other practice locations

  • 1101 Veterans Dr, Lexington, KY 40502-2235 · (859) 233-4511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922955103

Riley Nicole Feddock's National Provider Identifier is 1922955103, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Oct 4, 2026.