Mcreynolds, Keith E

Mcreynolds, Keith E is an sole proprietor health care provider with primary practice located at 1460 E Colt Road , Tempe AZ 85284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mcreynolds, Keith E can be contacted via phone (480) 227-0500.

Contact Information

Primary practice address
1460 E Colt Road Tempe AZ 85284
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 9169 Arizona

Profile Details

NPI number 1598717647
LBN Legal business name Mcreynolds, Keith E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jul 23rd, 2007 - about 18 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 1598717647 NPPES
Arizona Other STATE LICENSE # 9169 AZ MEDICAL BOARD

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