Individual
KATHLEEN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
148 LINE ST STE D, CHARLESTON, SC 29403-5576
(843) 718-1026
Mailing address
601 MEETING ST APT 5007, CHARLESTON, SC 29403-4594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.30210
SC
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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