Individual
KARA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 15TH ST, SUITE 300, GREELEY, CO 80631-4500
(970) 378-4475
Mailing address
5224 CORNERSTONE DR, FORT COLLINS, CO 80528-3077
(720) 373-1910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3137
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43521835
—
CO
Enumeration date
12/13/2010
Last updated
05/24/2011
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