Individual
DAVID M REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2601
(606) 451-2641
Mailing address
3655 KENT DR, NAPLES, FL 34112-3753
(606) 875-1369
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
12/01/2023
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