Individual
CASEY ANN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
6354 WALKER LN STE 400, ALEXANDRIA, VA 22310-3252
(571) 472-7320
(571) 472-7321
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008241
VA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/05/2018
Last updated
10/27/2022
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