Individual
EVAN WILLIAM REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1800
(502) 629-8000
Mailing address
600 STUDEMONT ST APT 1112, HOUSTON, TX 77007-4956
(713) 443-1585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015707
KY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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