Individual
KALEB ARDEN PURCELL REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5021
(919) 232-5021
Mailing address
1880 AMOS ST, REIDSVILLE, NC 27320-6204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
05/12/2026
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