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Contact Information

KENNETH W RILEY JR
10953 PARK RD.
CHARLOTTE, NC28226
 Phone: 910-624-7983
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for KENNETH W RILEY JR · (Male)

NPI # 1427540012
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2018
Last updated 04/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC Medicaid 7301435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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