Individual
KEVIN JOHN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9701125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28736
UNITED HEALTHCARE
NC
01
—
1073X
BCBS
NC
05
—
891073X
—
NC
01
—
930077045
RAILROAD MEDICARE
NC
01
—
930084667
RAILROAD MEDICARE
NC
01
—
B4556
MEDCOST
NC
05
—
Q0112D
—
SC
Enumeration date
06/14/2005
Last updated
10/12/2010
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