Reed, Kenneth W

Reed, Kenneth W is an individual health care provider with primary practice located at 1020 Hitt St , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Reed, Kenneth W can be contacted via phone (573) 882-6921.

Contact Information

Primary practice address
1020 Hitt St Columbia MO 65212-0001
Phone: (573) 882-6921
Fax: (573) 882-1154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 102000 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 102000 Missouri

Profile Details

NPI number 1659318236
LBN Legal business name Reed, Kenneth W
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 16th, 2024 - about 2 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 1659318236 NPPES
Missouri MEDICAID 423908003

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