Individual
KEVIN REICHMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5120 DIXIE HWY, SUITE 103, LOUISVILLE, KY 40216-1702
(502) 587-1236
(502) 587-0318
Mailing address
5120 DIXIE HWY, SUITE 103, LOUISVILLE, KY 40216-1702
(502) 587-1236
(502) 587-0318
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
003111
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003111
STATE ID
KY
Enumeration date
08/22/2006
Last updated
07/29/2013
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