Individual
DR. ROBERT MARK REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3631 DECOURSEY AVE, COVINGTON, KY 41015-1436
(859) 431-2273
(859) 431-6937
Mailing address
PO BOX 15005, COVINGTON, KY 41015-0005
(859) 431-2273
(859) 431-6937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032630
ANTHEM BC/BS
KY
01
—
350027855
RAILROAD MEDICARE
KY
01
—
4162C
HUMANA/CHOICE CARE
KY
01
—
611231711
FEDERAL TAX ID
KY
05
—
85001121
—
KY
01
—
T831
BLUE CROSS/ BLUE SHIELD
KY
Enumeration date
10/27/2006
Last updated
04/22/2014
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