Individual
DR. KATHRYN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1729 CLARKSON RD, CHESTERFIELD, MO 63017-4977
(636) 733-0090
(636) 733-0028
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03029
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313710501
—
MO
Enumeration date
06/23/2005
Last updated
06/15/2011
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