MARY KATHLEEN REILLY MD NPI 1154385847

NPI Information

NPI: 1154385847
Provider Name: MARY KATHLEEN REILLY, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
122 W 7TH AVE
410 & 420
SPOKANE, WA
ZIP 99204
Phone: (509) 838-8286
Get Directions

Mary Kathleen Reilly, MD is a vascular surgery surgery in Spokane, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mary Kathleen Reilly, MD NPI is 1154385847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

122 W 7TH AVE
410 & 420
SPOKANE, WA
ZIP 99204-349
Phone: (509) 838-8286
Fax: (509) 625-1888

The enumeration date for this NPI number is 4/12/2006 and was last updated on 12/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	MD00031808	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A98923	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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