Individual
KIMBERLY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
502136
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
502136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096183102
—
TX
05
—
096183103
—
TX
05
—
200061520 A
—
OK
05
—
55522386
—
NM
Enumeration date
07/07/2006
Last updated
06/27/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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