Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | C1-0010044 | DE |
Y | 207ND0101X | MOHS-Micrographic Surgeon | C1-0010044 | DE |
N | 207NS0135X | Procedural Dermatology | C1-0010044 | DE |
NPI | 1033370408 |
---|---|
Provider Name | Dr. Kathryn Elizabeth O'reilly |
First Address | Lewes, DE 19958-1772 |
Second Address | Lewes, DE 19958-1772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 12/08/2020 |