Healthcare Provider Details

I. General information

NPI: 1710818604
Provider Name (Legal Business Name): BARBARA REIHELD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA REIHELD KAHL RN

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3839 SANDY LAKE RD
RAVENNA OH
44266-8625
US

IV. Provider business mailing address

3839 SANDY LAKE RD
RAVENNA OH
44266-8625
US

V. Phone/Fax

Practice location:
  • Phone: 330-703-0294
  • Fax:
Mailing address:
  • Phone: 330-703-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberRN179825
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: