Individual
DR. GARY LLOYD REASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 EXECUTIVE PARK, LOUISVILLE, KY 40207-4204
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
26758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360623
ANTHEM
KY
05
—
64267586
—
KY
Enumeration date
06/17/2005
Last updated
07/10/2025
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