MEDICARE: KYNZIE REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	PSY-BA-LIC-6123	MT

General Provider Information

NPI Number	:	1003775388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYNZIE REED

Provider Business Mailing Address
First Line	:	1061 SAVANNAH RD APT E302
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 SAVANNAH RD APT E302
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5998
Country	:	US
Telephone Number	:	931-797-7964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ KYNZIE REED ” Practice Location

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