Individual
MS. KERRY B REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY, WORCESTER, MA 01655
(508) 334-3278
(508) 334-7284
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006856-1
NY
363A00000X
Physician Assistant
Primary
2083
MA
363A00000X
Physician Assistant
5601003110
MI
363A00000X
Physician Assistant
PA00392
RI
Other
Enumeration date
12/06/2006
Last updated
01/13/2012
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