Healthcare Provider Details

I. General information

NPI: 1942959218
Provider Name (Legal Business Name): KYLE REED DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8414 NAAB RD STE 100
INDIANAPOLIS IN
46260-1972
US

IV. Provider business mailing address

1300 MERCER AVE
DECATUR IN
46733-2407
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-7510
  • Fax: 317-338-7540
Mailing address:
  • Phone: 260-724-3811
  • Fax: 260-728-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number02007707A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: