Individual
MRS. BETSY TUCKER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
298 BOGLE ST, STE B, SOMERSET, KY 42503
(606) 679-9213
(606) 677-9963
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64205180
—
KY
Enumeration date
03/14/2006
Last updated
07/11/2019
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