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1144417999
THADDEUS BEAM RILEY
LOUISVILLE, KY
NPI
1144417999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KY PA1070)
Enumeration Date
2007-09-25
Last Update Date
2023-11-27
Business Address
Mr. THADDEUS BEAM RILEY PA
947 EASTERN PKWY
LOUISVILLE, KY 40217-1573
Phone number: 502-361-8801
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Mailing Address
Mr. THADDEUS BEAM RILEY PA
947 EASTERN PKWY
LOUISVILLE, KY 40217-1573
Phone number: 502-361-8801
Copy
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