Individual
DR. KEVIN DEAN O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1556 N D ST, SAN BERNARDINO, CA 92405-4710
(909) 885-0652
(909) 885-5022
Mailing address
1556 N D ST, SAN BERNARDINO, CA 92405-4710
(909) 885-0652
(909) 885-5022
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5421119
—
CA
Enumeration date
06/12/2006
Last updated
12/18/2007
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