Healthcare Provider Details

I. General information

NPI: 1205686318
Provider Name (Legal Business Name): KIRSTIN MEBANE REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW DEPT OF EMERGENCY MEDICINE
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING ST NW DEPT OF EMERGENCY MEDICINE
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2424
  • Fax: 202-877-7633
Mailing address:
  • Phone: 202-877-2424
  • Fax: 202-877-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMTL500002378
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: