Individual provider · Type 1 NPI

Timothy Reilly

Physician Assistant · St. Louis, MO

NPI number 1679058754 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X022615 (NY)
Physician Assistant Primary 363A00000X2022037500 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679058754

Timothy Reilly's National Provider Identifier is 1679058754, issued on Sep 25, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 18, 2023.