Individual
KEVIN CHRISTOPHER REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111
(703) 878-3939
Mailing address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 424-5266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007679
VA
363A00000X
Physician Assistant
C07941
MD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/28/2020
Last updated
01/15/2025
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