Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin D Reilly, PA

Individual provider Physician Assistant · NPI 1962754804

Mr. Kevin D Reilly, PA is a Physician Assistant in Orlando, Florida. Qualified in 2012, 14 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

217 Hillcrest St
Orlando, FL 32801-1211
Phone: (407) 425-1566
Fax: (407) 422-0166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106897 (FL)

Record details

NPI number1962754804
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2012
Last updated in NPPESApril 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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