Individual
DR. KAREN LORRAINE REID-RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1403 E ATWATER AVE, BLOOMINGTON, IN 47401-3707
(812) 339-6744
(812) 287-8223
Mailing address
1403 E ATWATER AVE, BLOOMINGTON, IN 47401-3707
(812) 339-6744
(812) 287-8223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055670A
IN
207V00000X
Obstetrics & Gynecology Physician
01055670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217697
ANTHEM PROVIDER NUMBER
IN
05
—
200367600A
—
IN
01
—
6088398
CIGNA PROVIDER NUMBER
IN
Enumeration date
04/14/2006
Last updated
09/09/2025
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