Individual
DR. STEPHANIE KAYE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2561 JACKSBORO PIKE, JACKSBORO, TN 37757-4847
(423) 562-1531
(423) 562-1724
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3467
TN
Other
Enumeration date
08/02/2018
Last updated
10/14/2021
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