Healthcare Provider Details

I. General information

NPI: 1235192808
Provider Name (Legal Business Name): KAREN J REEDY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2058 S QUEEN ST
YORK PA
17403-4829
US

IV. Provider business mailing address

1803 MT ROSE AVE SUITE B3
YORK PA
17403-3051
US

V. Phone/Fax

Practice location:
  • Phone: 888-520-5060
  • Fax: 717-812-3950
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberC0001458
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA054384
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: