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Individual

KENNETH E REESOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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