Healthcare Provider Details

I. General information

NPI: 1245295740
Provider Name (Legal Business Name): MICHELLE KAYE REED DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S GRAND MESA DR
CEDAREDGE CO
81413-3822
US

IV. Provider business mailing address

PO BOX 10100
DELTA CO
81416-0008
US

V. Phone/Fax

Practice location:
  • Phone: 970-856-4111
  • Fax:
Mailing address:
  • Phone: 970-874-2470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33811
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: