Individual
VICKI L REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1709 S ROCK RD, WICHITA, KS 67207-5150
(316) 682-7411
Mailing address
1709 S ROCK RD, WICHITA, KS 67207-5150
(316) 682-7411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00462
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042752
BCBS PROVIDER NUMBER
KS
Enumeration date
04/05/2006
Last updated
01/14/2010
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