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Individual

DAVID M REILLY

Active
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Individual

DAVID M REILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31406
KY
207Q00000X
Family Medicine Physician
Primary
ME134181
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226630
ANTHEM
—
05
—
023209000
—
FL
01
—
080145046
RAILROAD MEDICARE
KY
01
—
1165848
CHA
—
01
—
5225606
CCN
—
01
—
5635067
AETNA
—
05
—
64314065
—
KY
01
—
C92456
CUMBERLAND HEALTHCARE
—
Enumeration date
02/14/2006
Last updated
09/29/2026
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