Individual
JASON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2704 WATERFORD RD, MT WASHINGTON, KY 40047-7585
(502) 905-4216
Mailing address
2704 WATERFORD RD, MT WASHINGTON, KY 40047-7585
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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