Provider Demographics
NPI:1730126947
Name:RILEY-KINLAW, RACHAEL ANN
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:ANN
Last Name:RILEY-KINLAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 SW 133RD AVENUE RD
Mailing Address - Street 2:306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4515
Mailing Address - Country:US
Mailing Address - Phone:786-663-0441
Mailing Address - Fax:305-386-4675
Practice Address - Street 1:8540 SW 133RD AVENUE RD
Practice Address - Street 2:306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4515
Practice Address - Country:US
Practice Address - Phone:786-663-0441
Practice Address - Fax:305-386-4675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker