Provider Demographics
NPI:1407627516
Name:RILEY, SALLY SUE (CD(DONA), CCE, CLE,)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:SUE
Last Name:RILEY
Suffix:
Gender:F
Credentials:CD(DONA), CCE, CLE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9167 W 92ND TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3914
Mailing Address - Country:US
Mailing Address - Phone:913-341-2853
Mailing Address - Fax:
Practice Address - Street 1:9167 W 92ND TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3914
Practice Address - Country:US
Practice Address - Phone:913-341-2853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula