Individual
KRISTEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 S MAIN ST STE 1600, FORT WORTH, TX 76104-4802
(817) 321-4918
Mailing address
1101 S MAIN ST STE 1600, FORT WORTH, TX 76104-4802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
780401
TX
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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