Edge, Lisa Reynolds

Edge, Lisa Reynolds is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Edge, Lisa Reynolds can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39663 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 39663 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 39663 Kentucky

Profile Details

NPI number 1548431208
LBN Legal business name Edge, Lisa Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Aug 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548431208 NPPES
Kentucky MEDICAID 64114119
Kentucky MEDICAID 7100102130
Kentucky Other 000000642826
Kentucky Other 7655700

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