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Individual

MRS. KATHY A REIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
701 HILDRETH LN, MARIETTA, OH 45750-1768
(740) 568-0722
(740) 568-1772
Mailing address
701 HILDRETH LN, MARIETTA, OH 45750-1768
(740) 568-0722
(740) 568-1772

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
045178
WV
163WD0400X
Diabetes Educator Registered Nurse
339978
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3810011145
UNISYS
WV
Enumeration date
03/05/2008
Last updated
10/09/2008
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