Riley, Kelly Ann

Riley, Kelly Ann is an individual health care provider with primary practice located at 1409 Audubon Blvd Ste B4 , Wilmington NC 28403-6753. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Riley, Kelly Ann can be contacted via phone (910) 392-2240.

Contact Information

Primary practice address
1409 Audubon Blvd Ste B4 Wilmington NC 28403-6753
Phone: (910) 392-2240
Fax: (910) 392-2242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10422 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 10422 North Carolina

Profile Details

NPI number 1104974534
LBN Legal business name Riley, Kelly Ann
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 27th, 2023 - about 2 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 1104974534 NPPES
North Carolina MEDICAID 7211961

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