Individual provider · Type 1 NPI
Reilly Lilianna Kidwell, MD
Student in an Organized Health Care Education/Training Program · San Francisco, CA
Practice location
505 Parnassus Ave
San Francisco, CA 94143-2204
Mailing address
1453 18th Ave
San Francisco, CA 94122-3408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1942930359
Reilly Lilianna Kidwell, MD's National Provider Identifier is 1942930359, issued on Jun 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Jun 16, 2022.