Provider Demographics
NPI:1942010897
Name:ABLES, RILEY NELSON
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:NELSON
Last Name:ABLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 CHEYENNE TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4619
Mailing Address - Country:US
Mailing Address - Phone:812-344-4535
Mailing Address - Fax:
Practice Address - Street 1:2095 CHEYENNE TRL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4619
Practice Address - Country:US
Practice Address - Phone:812-344-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program