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NPI Code Detail

MEDICARE: KELSEY REESE

MEDICARE: KELSEY REESE
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
1106S00000XBehavior TechnicianRBT-19-91052

General Provider Information

NPI Number : 1427981901
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY REESE
Provider Business Mailing Address
First Line : 10750 COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10750 COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4402
Country : US
Telephone Number : 240-331-6099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ KELSEY REESE ” Practice Location

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