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General NPI Number Information
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NPI Number | 1336813153
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Entity Type | Individual
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Provider Name | KYLE MATHEW REED MS
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 345 UNION AVE
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City | LACONIA
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State | NH
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Zip | 03246-2898
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Country | US
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Telephone | 603-524-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 806 N MAIN ST
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City | LACONIA
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State | NH
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Zip | 03246-2603
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Country | US
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Telephone | 603-524-1497
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | P-0856
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License Number State | NH
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