THADDEUS BEAM RILEY

LOUISVILLE, KY
NPI1144417999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  PA1070)
Enumeration Date2007-09-25
Last Update Date2023-11-27
Business Address
Mr. THADDEUS BEAM RILEY PA
947 EASTERN PKWY
LOUISVILLE, KY 40217-1573
Phone number: 502-361-8801
Mailing Address
Mr. THADDEUS BEAM RILEY PA
947 EASTERN PKWY
LOUISVILLE, KY 40217-1573
Phone number: 502-361-8801
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