Individual
KAREN J REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C0001458
MD
363AS0400X
Surgical Physician Assistant
Primary
MA054384
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602514
GATEWAY MEDICARE ASSURED
PA
01
—
2557694
HIGHMARK BLUE SHIELD-FREEDOM BLUE
PA
Enumeration date
04/06/2006
Last updated
07/09/2013
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