Shannon M Reilly, PA-C
Physician Assistant in Cincinnati, OH. Individual provider (NPI-1).
NPI number1982118378
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1982118378
- Entity type
- Individual (NPI-1)
- Name
- Shannon M Reilly
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2017
- Certification date
- Dec 6, 2022
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007901RX | OH | Yes |
| 363A00000X | Physician Assistant | 0010-07438 | NC |
Practice location
3825 Edwards Rd Ste 300Cincinnati, OH 45209-1288
Phone 513-221-1100 · Fax 513-684-4501
Mailing address
Po Box 643398Cincinnati, OH 45264-3398
Phone 513-221-1100 · Fax 513-684-4501
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