Individual
DR. KILEY JOSEPH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8200 SW 117TH AVE, SUITE 312, MIAMI, FL 33183-3856
(305) 595-7246
(305) 595-7242
Mailing address
8200 SW 117TH AVE, SUITE 312, MIAMI, FL 33183-3856
(305) 595-7246
(305) 595-7242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS10004
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS10004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159466033
—
GA
01
—
7835293
CIGNA
GA
Enumeration date
06/01/2007
Last updated
12/11/2012
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