Individual
MR. KEVIN P REAGAN
Active
Individual
MR. KEVIN P REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16148
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110219831
TRAVELERS RR MEDICARE
NE
05
—
47083900200
—
NE
Enumeration date
08/24/2006
Last updated
08/07/2008
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