Individual
JESSICA KATHLEEN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-2147
(859) 323-6346
(859) 323-6840
Mailing address
740 S. LIMESTONE, LEXINGTON, KY 40536-0293
(859) 323-6346
(859) 323-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50461
KY
2086S0102X
Surgical Critical Care Physician
50461
KY
2086S0127X
Trauma Surgery Physician
Primary
50461
KY
Other
Enumeration date
04/17/2011
Last updated
07/14/2017
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