Individual
KURTIS B REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 N COLLEGE RD, SUITE A, TWIN FALLS, ID 83301-5812
(208) 814-7180
(208) 814-7199
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M11491
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245484096
—
ID
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00873574
RAILROAD MEDICARE
MN
Enumeration date
11/06/2008
Last updated
09/22/2014
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