Individual
JOSEPH R. REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1 TRILLIUM WAY LOWR LEVEL, CORBIN, KY 40701-8426
(270) 575-2100
(270) 415-7229
Mailing address
5224 75TH ST STE D, LUBBOCK, TX 79424-2525
(806) 712-1096
(806) 771-2093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000000899
TN
363A00000X
Physician Assistant
Primary
PA660
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522565
—
TN
05
—
95002598
—
KY
Enumeration date
09/14/2006
Last updated
06/07/2021
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