Individual
DAVID KENNETH REYNOLDS
Active
Individual
DAVID KENNETH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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