Individual
KRISTIN E. REIDY
Active
Individual
KRISTIN E. REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A-1152-01
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180044928
RRB MEDICARE RAILROAD
NM
05
—
25856316
—
NM
05
—
702234
—
AZ
01
—
NM004A00
BC BS OF NM
NM
Enumeration date
10/21/2005
Last updated
04/25/2008
Update your record
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