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NPI Code Detail

MEDICARE: DANIEL W REYNOLDS DO

MEDICARE: DANIEL W REYNOLDS DO
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
1208000000XPediatrics Physician05-30785KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KA2129013OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760494900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL W REYNOLDS DO
Provider Business Mailing Address
First Line : 1500 SW 10TH AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1301
Country : US
Telephone Number : 785-354-5242
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SW 10TH AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1301
Country : US
Telephone Number : 785-354-5242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 03/02/2026

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