Healthcare Provider Details

I. General information

NPI: 1962480244
Provider Name (Legal Business Name): ROBIN R REED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN R BARR

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101A EAST NORTH MAIN STREET
RICHMOND MO
64085
US

IV. Provider business mailing address

3 LAKEVIEW DR
LEXINGTON MO
64067-2102
US

V. Phone/Fax

Practice location:
  • Phone: 660-398-4400
  • Fax: 660-398-0052
Mailing address:
  • Phone: 660-232-0120
  • Fax: 660-398-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2005008907
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: