MEDICARE: GAYL SCOTT READER M.D.

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	207RI0011X	Interventional Cardiology Physician	21520	KY
2	207RC0000X	Cardiovascular Disease Physician	21520	KY

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	:	1467401729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAYL SCOTT READER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 23229
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42304-3229
Country	:	US
Telephone Number	:	270-691-8070
Fax Number	:	270-691-8026

Provider Business Practice Location Address
First Line	:	440 HOPKINSVILLE ST
Second Line	:
City	:	GREENVILLE
State	:	KY
Zip	:	42345-1124
Country	:	US
Telephone Number	:	270-417-7500
Fax Number	:	270-417-7509

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

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	05/18/2020

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