Healthcare Provider Details

I. General information

NPI: 1730145616
Provider Name (Legal Business Name): RENO PATHOLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E 23RD AVE
HUTCHINSON KS
67502-1105
US

IV. Provider business mailing address

2020 NORTH WALDRON SUITE 100
HUTCHINSON KS
67502
US

V. Phone/Fax

Practice location:
  • Phone: 620-665-2335
  • Fax: 620-513-3832
Mailing address:
  • Phone: 620-665-2335
  • Fax: 620-513-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA D PIERCE
Title or Position: PRESIDENT
Credential: MD
Phone: 620-665-2335