MRS. KELLY RILEY LMP
NPI 1053647701
Specialist in Puyallup, WA

Q: What is Kelly Riley's NPI number?

The NPI number for Kelly Riley is 1053647701. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Kelly Riley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Riley was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 29, 2009

1011 E MAIN AVE STE 201, PUYALLUP, WA 98372(253) 845-2013(253) 845-2030 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kelly Riley Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY RILEY LMP (NPI 1053647701) is an individual specialist in Puyallup, Washington, licensed in Washington (MA00015467) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1053647701

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. KELLY RILEYCredential: LMP

Location Address1011 E MAIN AVE STE 201Puyallup, WA 98372-6777

Mailing Address1011 E Main Ave Ste 201Puyallup, WA 98372-6777 · (253) 845-2013 · Fax (253) 845-2030

Phone(253) 845-2013

Fax(253) 845-2030

Sole ProprietorNo

Enumeration DateOctober 29, 2009

✔ NPI 1053647701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MA00015467

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1011 E MAIN AVE STE 201, Puyallup, WA 98372

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Other Identifiers 1

OtherMA00015467WA · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Riley's NPI number?

The NPI number for Kelly Riley is 1053647701. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Kelly Riley located?

Kelly Riley practices at 1011 E Main Ave Ste 201, Puyallup, WA 98372. The listed phone number is (253) 845-2013.

What is Kelly Riley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Riley was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.