Individual
KIM S REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-4042
(425) 262-4051
Mailing address
16216 N MEADOWDALE RD, EDMONDS, WA 98026-4928
(206) 434-0437
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60322795
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A7595
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO-454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007956
—
AL
01
—
51079556
BCBS#
AL
Enumeration date
08/16/2006
Last updated
11/21/2013
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