Individual
KERRY R REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
(801) 475-3701
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3300
(801) 475-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
10/11/2007
Last updated
05/04/2021
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