Organization
K DEAN REEVES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DEAN REEVES M.D. (OWNER)
(913) 362-1600
Entity
Organization
Contact information
Practice address
4740 EL MONTE ST, SHAWNEE MISSION, KS 66205-1348
(913) 362-1600
(913) 362-4452
Mailing address
4740 EL MONTE ST, SHAWNEE MISSION, KS 66205-1348
(913) 362-1600
(913) 362-4452
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-19247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198030A
—
KS
Enumeration date
06/16/2008
Last updated
06/16/2008
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