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Organization

KEVIN M REID D O INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MICHAEL REID D O (PRESIDENT)
(937) 226-7887
Entity
Organization

Contact information

Practice address
425 W GRAND AVE, SUITE 2001, DAYTON, OH 45405-4775
(937) 226-7887
(937) 224-5098
Mailing address
425 W GRAND AVE, SUITE 2001, DAYTON, OH 45405-4775
(937) 226-7887
(937) 224-5098

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34002459R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0396076
OH
01
1073514709
NPI
OH
Enumeration date
10/19/2010
Last updated
11/15/2010
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