Individual
JONATHAN MANUEL REY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 BURLEY AVE, HOPKINSVILLE, KY 42240
(270) 887-6565
(270) 887-6575
Mailing address
PO BOX 2400, HOPKINSVILLE, KY 42241-2400
(270) 707-2100
(270) 707-2103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44328
KY
207Q00000X
Family Medicine Physician
Primary
44328
KY
207R00000X
Internal Medicine Physician
44328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100133720
—
KY
Enumeration date
04/02/2008
Last updated
02/09/2021
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