MEDICARE: KRISTIN A RILEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	MD60529475	WA
2	207V00000X	Obstetrics & Gynecology Physician	MD447684	PA

General Provider Information

NPI Number	:	1003042680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN A RILEY MD

Provider Business Mailing Address
First Line	:	PO BOX 858
Second Line	:	MC A410
City	:	HERSHEY
State	:	PA
Zip	:	17033-0858
Country	:	US
Telephone Number	:	800-243-1455
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 HOPE DR STE 202204
Second Line	:
City	:	HERSHEY
State	:	PA
Zip	:	17033-2008
Country	:	US
Telephone Number	:	717-531-3503
Fax Number	:	717-531-4375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	09/02/2020

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Directions to “ KRISTIN A RILEY MD” Practice Location

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