Individual
MS. KATHRYN H. REYNOLDS
Active
Individual
MS. KATHRYN H. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
274572
MA
363L00000X
Nurse Practitioner
APRN11000231
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11000231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102494600
—
FL
01
—
419DJ
BCBS
—
01
—
LC400
MEDICARE
FL
Enumeration date
11/03/2008
Last updated
12/02/2021
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