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NPI Code Detail

MEDICARE: DR. JUSTIN A REED MD

MEDICARE: DR. JUSTIN A REED 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
1208C00000XColon & Rectal Surgery Physician0427750KS

Other Identifiers

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

General Provider Information

NPI Number : 1649277443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN A REED MD
Provider Business Mailing Address
First Line : 6301 W 34TH ST N
Second Line :
City : WICHITA
State : KS
Zip : 67205-2545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 E KELLOGG DR
Second Line :
City : WICHITA
State : KS
Zip : 67218-1607
Country : US
Telephone Number : 316-685-2221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/21/2016

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