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Individual
KIM S REIS
Active
Individual
KIM S REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60322795
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A7595
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO-454
AL
Other
Enumeration date
08/16/2006
Last updated
11/21/2013
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