Individual
KEVIN M REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 W GRAND AVE, SUITE 2001, DAYTON, OH 45405-4775
(937) 226-7887
(937) 224-5098
Mailing address
425 W GRAND AVE, SUITE 2001, DAYTON, OH 45405-4775
(937) 226-7887
(937) 224-5098
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34002459R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008389
ANTHEM BLUE SHIELD
OH
05
—
0396076
—
OH
Enumeration date
08/03/2005
Last updated
12/10/2013
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