Individual
KATHY L REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 EAST 21ST STREET, SIOUX FALLS, SD 57105-1016
(605) 322-8000
Mailing address
PO BOX 1450 NW 0090, MINNEAPOLIS, MN 55485-0090
(800) 279-1395
(517) 694-6441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9701856
NC
2080P0203X
Pediatric Critical Care Medicine Physician
11712
NV
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4743
SD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
38372
CO
2080P0214X
Pediatric Pulmonology Physician
4743
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019725
—
NV
05
—
063407700
—
MN
05
—
64900789
—
CO
05
—
6700510
—
SD
05
—
891113P
—
NC
Enumeration date
05/04/2006
Last updated
11/13/2008
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