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NPI Code Detail

MEDICARE: JOSLYN REEDY-KAY AND ASSOCIATES, LLC

MEDICARE: JOSLYN REEDY-KAY AND ASSOCIATES, LLC
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
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21790037513OTHERINDIVIDUAL NPI FOR OWNER

General Provider Information

NPI Number : 1619514155
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSLYN REEDY-KAY AND ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 3268 JEFFERSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3268 JEFFERSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2220
Country : US
Telephone Number : 513-914-1777
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICIAN
Name : JOSLYN REEDY-KAY
Credential :
Telephone Number : 513-914-1777
Provider Enumeration Date : 12/03/2019
Last Update Date : 12/03/2019

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