Provider Demographics
NPI:1619557238
Name:OREILLY, KOURTNEY MICHELLE (RDCS RYT INHC)
Entity type:Individual
Prefix:
First Name:KOURTNEY
Middle Name:MICHELLE
Last Name:OREILLY
Suffix:
Gender:F
Credentials:RDCS RYT INHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1403
Mailing Address - Country:US
Mailing Address - Phone:248-761-4683
Mailing Address - Fax:
Practice Address - Street 1:139 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1403
Practice Address - Country:US
Practice Address - Phone:248-761-4683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography