Individual
KELLY REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11477
MA
225100000X
Physical Therapist
Primary
2238
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800389Y0NH01
ANTHEM NH
NH
01
—
370321
MVP
NH
Enumeration date
01/22/2007
Last updated
07/08/2007
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