Healthcare Provider Details

I. General information

NPI: 1164507216
Provider Name (Legal Business Name): REED A KRESS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 NW MARTIN LUTHER KING JR BLVD
EVANSVILLE IN
47708-1903
US

IV. Provider business mailing address

319 NW MARTIN LUTHER KING JR BLVD
EVANSVILLE IN
47708-1903
US

V. Phone/Fax

Practice location:
  • Phone: 812-423-9146
  • Fax: 775-766-6516
Mailing address:
  • Phone: 812-423-9146
  • Fax: 775-766-6516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001908A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: