Reilly, Kevin J

Reilly, Kevin J is an sole proprietor health care provider with primary practice located at 601 East Hampden Avenue Suite 420, Englewood CO 80113. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Reilly, Kevin J can be contacted via phone (303) 523-3023.

Contact Information

Primary practice address
601 East Hampden Avenue Suite 420 Englewood CO 80113
Phone: (303) 523-3023
Fax: (303) 523-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1407 Colorado

Profile Details

NPI number 1528087244
LBN Legal business name Reilly, Kevin J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 21st, 2022 - 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 1528087244 NPPES
Colorado MEDICAID 07014079

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