Reilly, Kim Marie

Reilly, Kim Marie is an individual health care provider with primary practice located at 1011 Rock Quarry Rd , Raleigh NC 27610-3825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reilly, Kim Marie can be contacted via phone (984) 464-6749.

Contact Information

Primary practice address
1011 Rock Quarry Rd Raleigh NC 27610-3825
Phone: (984) 464-6749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35078399R Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021-01611 North Carolina

Profile Details

NPI number 1922083674
LBN Legal business name Reilly, Kim Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922083674 NPPES
Ohio Other 1204464 UHC PIN
Ohio Other 000000177532 UHC PIN
Ohio Other 0989499 UHC PIN
Ohio Other RE4028581 UHC PIN
Ohio Other 000000185154 UHC PIN
Ohio Other 311413469053 UHC PIN
Ohio MEDICAID 2189911 UHC PIN

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