MEDICARE: DR. GERALD M REID MD

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	207RN0300X	Nephrology Physician	R9E62MO	MO
2	207RN0300X	Nephrology Physician	0422266KS	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013984731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD M REID MD

Provider Business Mailing Address
First Line	:	6530 TROOST
Second Line	:	STE A
City	:	KANSAS CITY
State	:	MO
Zip	:	64131
Country	:	US
Telephone Number	:	816-361-0670
Fax Number	:	816-444-6936

Provider Business Practice Location Address
First Line	:	6530 TROOST
Second Line	:	STE A
City	:	KANSAS CITY
State	:	MO
Zip	:	64131
Country	:	US
Telephone Number	:	816-361-0670
Fax Number	:	816-444-6936

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	01/03/2011

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