Individual
SEAN N REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57017928
OH
2085R0202X
Diagnostic Radiology Physician
042.0013132
VT
2085R0202X
Diagnostic Radiology Physician
Primary
51479
KY
Other
Enumeration date
09/27/2010
Last updated
10/03/2021
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