Reller, Kerry Eileen

Reller, Kerry Eileen is an individual health care provider with primary practice located at 708 Druid Rd E , Clearwater FL 33756-3914. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Reller, Kerry Eileen can be contacted via phone (727) 446-1097.

Contact Information

Primary practice address
708 Druid Rd E Clearwater FL 33756-3914
Phone: (727) 446-1097
Fax: (833) 941-2542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME127125 Florida

Profile Details

NPI number 1649513276
LBN Legal business name Reller, Kerry Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Jan 31st, 2024 - about 2 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 1649513276 NPPES
Florida MEDICAID 018606700

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