Individual
KENNETH W REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
102000
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
102000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423908003
—
MO
Enumeration date
06/01/2006
Last updated
05/16/2024
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