Healthcare Provider Details

I. General information

NPI: 1912569096
Provider Name (Legal Business Name): KRISTEN RENEE REEDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 LAUREL ST STE 3250
DES MOINES IA
50314-3026
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-6400
  • Fax: 515-643-5816
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-643-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberRL15732
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD-56219
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: