MEDICARE: KRISTA REYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	299884	KY

General Provider Information

NPI Number	:	1588590111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA REYES

Provider Business Mailing Address
First Line	:	110 EVANS BLVD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 EVANS BLVD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9202
Country	:	US
Telephone Number	:	859-693-6686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

Similar Medicare Providers

1831445873 — WALGREEN CO
Practice Location Address:

5317 WILLIAMS DR
GEORGETOWN, TX
78633-9202

Practice Phone: 512-868-2818
Practice Fax: 512-863-0650

1255826327 — DR. PRETIK RAJESH PATEL PHARMD
Practice Location Address:

5317 WILLIAMS DR
GEORGETOWN, TX
78633-9202

Practice Phone: 512-868-2818
Practice Fax:

1972114601 — ERIC WRIGHT PHARMD
Practice Location Address:

5317 WILLIAMS DR
GEORGETOWN, TX
78633-9202

Practice Phone: 512-868-2818
Practice Fax: 512-863-0650

1386353340 — DR. MOHAMMAD KHONDKAR RPH
Practice Location Address:

5317 WILLIAMS DR
GEORGETOWN, TX
78633-9202

Practice Phone: 512-868-2818
Practice Fax:

1841462322 — DR. CARESSE LYNNETTE WESLEY D.O.
Practice Location Address:

150 MOUNT VERNON DR
GEORGETOWN, KY
40324-1410

Practice Phone: 502-218-1710
Practice Fax: 502-218-1711

1174299267 — JARED TOMPKINS
Practice Location Address:

106 MARKET PLACE CIR
GEORGETOWN, KY
40324-7400

Practice Phone: 859-317-6080
Practice Fax: 859-317-6079

Directions to “ KRISTA REYES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.