MEDICARE: RONALD KIRBY 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
1	2084N0400X	Neurology Physician	3733	NV

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	:	1710982079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD KIRBY REED MD

Provider Business Mailing Address
First Line	:	3006 S MARYLAND PKWY
Second Line	:	STE 460
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2235
Country	:	US
Telephone Number	:	702-733-2074
Fax Number	:	702-733-2075

Provider Business Practice Location Address
First Line	:	3006 S MARYLAND PKWY
Second Line	:	STE 460
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2235
Country	:	US
Telephone Number	:	702-733-2074
Fax Number	:	702-733-2075

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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