Individual
DR. KATY L. REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 MOHEGAN AVENUE, UNITED STATES COAST GUARD ACADEMY, NEW LONDON, CT 06320-4195
(850) 607-1414
Mailing address
80 KEY ST, MILLIS, MA 02054-1145
(850) 607-1414
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
57438
MA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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