Individual
TERRENCE J REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1948 WILTSHIRE RD STE 1, KEARNEYSVILLE, WV 25430-0010
(304) 728-8416
(304) 728-3319
Mailing address
1948 WILTSHIRE RD STE 1, KEARNEYSVILLE, WV 25430-0010
(304) 728-8416
(304) 728-3319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14155
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084535000
—
WV
Enumeration date
05/24/2005
Last updated
08/11/2023
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