Reynolds, Richard Albert Keith

Reynolds, Richard Albert Keith is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Reynolds, Richard Albert Keith can be contacted via phone (850) 505-4720.

Contact Information

Primary practice address
5153 N 9Th Ave Pensacola FL 32504-8785
Phone: (850) 505-4720
Fax: (850) 505-4726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A50293 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A50293 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301088730 Michigan
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME123787 Florida

Profile Details

NPI number 1598701930
LBN Legal business name Reynolds, Richard Albert Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 28th, 2017 - about 9 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 1598701930 NPPES
Michigan Other 20-0-82-6207-1 BCBSM
Michigan MEDICAID '014781200 BCBSM
Michigan MEDICAID 4919117 BCBSM

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