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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN ROBERT RILEY, IDMT

Active

GLEN ROBERT RILEY, IDMT is a Independent Duty Medical Technician healthcare provider located in LOUISVILLE, Tennessee. NPI 1811123128 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · LOUISVILLE, TN

Registration Details

NPI Number
1811123128
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2009 (17.017866988446 yrs)
Last Updated
Jun 2, 2009

Practice Information

Address
420 POST AVE
LOUISVILLE, TN, 377776223
Browse TN providers · Browse ZIP 37777
Phone
8659854278
Fax
8659854273
Primary Specialty
Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in LOUISVILLE, TN

Name Credential NPI
MR. JACK HOMER ATKINS III IDMT 1104052216
WALTER BUCKNER IDMT 1558845362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.