Individual
DR. KENNETH HOWARD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 WHETSTONE DR, MOUNT CRESTED BUTTE, CO 81225
(970) 349-7341
Mailing address
PO BOX 2239, CRESTED BUTTE, CO 81224
(970) 349-7341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09598
GA
207R00000X
Internal Medicine Physician
Primary
14826
CO
207R00000X
Internal Medicine Physician
M7415
ID
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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