Individual
DR. KIRK W. REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME126410
FL
2086S0120X
Pediatric Surgery Physician
Primary
C10007408
DE
2086S0120X
Pediatric Surgery Physician
MD056010L
PA
2086S0120X
Pediatric Surgery Physician
ME126410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001864249
—
PA
05
—
0050717
—
NJ
05
—
0594531
—
IA
05
—
4516001
—
MD
05
—
KR68133
—
RI
Enumeration date
09/29/2006
Last updated
07/13/2016
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