Individual provider · Type 1 NPI

Jordan Kyle Reilly

Student in an Organized Health Care Education/Training Program · St. Joseph, MO

NPI number 1821814286 Active

Practice location

5325 Faraon St
St. Joseph, MO 64506-3488

Mailing address

1219 Felix St
St. Joseph, MO 64501-2817

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821814286

Jordan Kyle Reilly's National Provider Identifier is 1821814286, issued on Dec 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Joseph, MO. The record was last updated on Dec 2, 2024.