Individual
REED BENNETT WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 FOUNTAIN CT, LEXINGTON, KY 40509-2792
(859) 323-6021
Mailing address
10329 MONTE MAR DR, LOS ANGELES, CA 90064-3428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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