Individual
DR. KEVIN CHRISTOPHER REILLY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9618
(502) 624-0437
Mailing address
108 DEER GROVE CT, ELIZABETHTOWN, KY 42701-6986
(270) 982-3999
(502) 624-0437
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD10894
HI
2085N0700X
Neuroradiology Physician
MD422100
PA
2085R0202X
Diagnostic Radiology Physician
MD10894
HI
2085R0202X
Diagnostic Radiology Physician
Primary
MD422100
PA
Other
Enumeration date
11/23/2005
Last updated
11/09/2011
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