Individual
MS. KATHLEEN K REILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
8640 SUDLEY RD, SUITE 108, MANASSAS, VA 20110-4420
(703) 369-8616
(703) 369-8533
Mailing address
8640 SUDLEY RD, SUITE 108, MANASSAS, VA 20110-4420
(703) 369-8616
(703) 369-8533
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
491168
NY
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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