Physician Compare National (NPI:1952829384)

HEALTHCARE PROVIDER: KYLE MICHAEL REYNOLDS D.C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952829384
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002172350
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171102001955
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REYNOLDS
	Individual professional last name
Provider First Name	KYLE
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2032 LOWE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 102
	Group Practice or individual's line 2 address
City	FORT COLLINS
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	805255743
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y