Provider Demographics
NPI:1740498088
Name:RILEY, KATHLEEN M (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:M
Last Name:RILEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3800 OAK VALLEY DR
Mailing Address - Street 2:APT#125
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5176
Mailing Address - Country:US
Mailing Address - Phone:570-313-9965
Mailing Address - Fax:
Practice Address - Street 1:K-MART PHARMACY #7460
Practice Address - Street 2:6906 MANARDVILLE PIKE NE
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918
Practice Address - Country:US
Practice Address - Phone:865-922-7443
Practice Address - Fax:865-922-1604
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN225081835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy