Individual
DR. KEVIN J REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
601 EAST HAMPDEN AVENUE, SUITE 420, ENGLEWOOD, CO 80113
(303) 523-3023
(303) 523-3023
Mailing address
601 EAST HAMPDEN AVENUE, SUITE 420, ENGLEWOOD, CO 80113
(303) 523-3023
(720) 212-0344
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1407
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07014079
—
CO
Enumeration date
07/19/2006
Last updated
07/21/2022
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