| NPI | 1659318236 |
|---|---|
| Former Name | KEN REED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 102000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 102000) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-05-16 |