Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 26628 | KY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 26628 | KY |
NPI | 1427015825 |
---|---|
Provider Name | Scott A Riley |
First Address | Lexington, KY 40508 |
Second Address | Lexington, KY 40508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 14/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64266281 | (05) | KY |
E08292 | (02) |