Individual
DR. KENNETH R REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11140 THOMPSON AVE, LENEXA, KS 66219-2301
(913) 492-9675
(913) 894-9591
Mailing address
PO BOX 219975, KANSAS CITY, MO 64121-9975
(913) 789-4155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-15333
KS
2083X0100X
Occupational Medicine Physician
05-15333
KS
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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