Individual
DAVID KENNETH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12600 CREEKSIDE LN STE 2, FORT MYERS, FL 33919-3353
(239) 343-9235
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 345-9235
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
3529
AZ
2084N0400X
Neurology Physician
Primary
OS18424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113522100
—
FL
05
—
503179
—
AZ
01
—
68935
MEDICARE GROUP NUMBER
AZ
Enumeration date
06/30/2005
Last updated
01/08/2025
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