Organization
REID PHYSICIAN ASSOCIATES, INC.
Active
Other names
REID ENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. KINYON (PRESIDENT)
(765) 983-3122
Entity
Organization
Contact information
Practice address
101 S 10TH ST, RICHMOND, IN 47374-5547
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-5547
(765) 966-1600
(765) 962-9641
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174056
—
OH
05
—
201041300
—
IN
Enumeration date
02/14/2006
Last updated
01/31/2014
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