# JESSICA KATHLEEN REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316237969
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 50461 | KY | — |
| 2086S0102X | Surgical Critical Care Physician | 50461 | KY | — |
| 2086S0127X | Trauma Surgery Physician | 50461 | KY | Yes |

## Other

- **Enumeration date:** 04/17/2011
- **Last updated:** 07/14/2017