Individual
DR. KEVIN EUGENE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6909 GOOD SAMARITAN DRIVE, SUITE A, CINCINNATI, OH 45247-5207
(513) 245-2500
(513) 245-5424
Mailing address
4701 CREEK ROAD, SUITE 110, CINCINNATI, OH 45242
(513) 618-9011
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35068341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004463
ANTHEM
OH
05
—
0154569
—
OH
01
—
0920516
UNITED HEALTHCARE
OH
01
—
200026469
MEDICARE RAILROAD
OH
01
—
4026563002
CIGNA
OH
Enumeration date
07/12/2005
Last updated
08/08/2014
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