Individual
KELSEY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21300 HIGHWAY 62 STE 100, SHADY COVE, OR 97539-7707
(541) 878-2115
Mailing address
6413 HARLAN DR, KLAMATH FALLS, OR 97603-7744
(541) 274-9375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
OR
124Q00000X
Dental Hygienist
124Q00000X
OR
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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