Individual
ELIZABETH A REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 UNION CHURCH RD, RUSSELLVILLE, KY 42276-8613
(270) 725-1118
Mailing address
1435 UNION CHURCH RD, RUSSELLVILLE, KY 42276-8613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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