Individual
CHAD ALLEN REIGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
313 AUTUMN BREEZE TRCE, LAGRANGE, KY 40031-1392
(502) 225-6334
(502) 225-6334
Mailing address
313 AUTUMN BREEZE TRCE, LAGRANGE, KY 40031-1392
(502) 225-6334
(502) 225-6334
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA 059
KY
Other
Enumeration date
07/12/2006
Last updated
12/08/2020
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