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General NPI Number Information
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NPI Number | 1487874418
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Entity Type | Organization
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Legal Business Name | REED FAMILY MEDICINE, PSC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 1904 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2214
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Country | US
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Telephone | 606-437-3456
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Fax | 606-437-1551
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Provider Business Mailing Address
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Address Line | 1904 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2214
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Country | US
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Telephone | 606-437-3456
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Fax | 606-437-1551
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Authorized Official
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Title or Position | PRESIDENT MEDICAL DOCTOR
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Name | DR. MARK ESTILL REED
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Credential | M.D.
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Telephone | 606-437-3456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38929
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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