Individual
KENNETH E REESOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 4TH ST, LONGVIEW, TX 75605-5137
(903) 524-0917
(903) 553-7756
Mailing address
3000 4TH ST, LONGVIEW, TX 75605-5137
(903) 524-0917
(903) 553-7756
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J2752
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
J2752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117870908
—
TX
Enumeration date
11/02/2005
Last updated
02/11/2026
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