Individual
CHRISTOPHER L REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, AGACNP-BC
Contact information
Practice address
3 AUDUBON PLAZA DR STE 220, LOUISVILLE, KY 40217-1319
(502) 636-7242
(502) 636-7130
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3015378
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3015378
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015378
STATE LICENSE
KY
Enumeration date
09/03/2021
Last updated
01/31/2025
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