Individual
KENNETH CALRISIAN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 901-9701
(918) 901-9702
Mailing address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 901-9701
(918) 901-9702
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
28440
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337180A
—
OK
Enumeration date
06/22/2007
Last updated
03/27/2019
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