Individual
KEGAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 482-2129
(865) 482-4036
Mailing address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 482-2129
(865) 482-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3232
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/21/2014
Last updated
05/21/2024
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