MEDICARE: KRISTIN ELIZABETH REEVE M.D.

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	207V00000X	Obstetrics & Gynecology Physician	55362	KY
2	207VM0101X	Maternal & Fetal Medicine Physician	01096696A	IN
3	207V00000X	Obstetrics & Gynecology Physician	01096696A	IN
4	207VM0101X	Maternal & Fetal Medicine Physician	55362	KY
5	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1841618766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ELIZABETH REEVE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	4123 DUTCHMANS LN STE 606
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4725
Country	:	US
Telephone Number	:	502-899-6900
Fax Number	:	502-899-6905

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

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	12/12/2025

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