Individual
SAMANTHA REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16734
WI
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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