Healthcare Provider Details

I. General information

NPI: 1134438021
Provider Name (Legal Business Name): REED CLICK, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15449 US HIGHWAY 160
FORSYTH MO
65653-8150
US

IV. Provider business mailing address

15449 US HIGHWAY 160
FORSYTH MO
65653-8150
US

V. Phone/Fax

Practice location:
  • Phone: 417-546-2401
  • Fax: 417-546-2409
Mailing address:
  • Phone: 417-546-2401
  • Fax: 417-546-2409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2010019847
License Number StateMO

VIII. Authorized Official

Name: DR. ROBERT REED CLICK JR.
Title or Position: OWNER / MD
Credential: MD
Phone: 417-546-2401