Reedy, Harold W

Reedy, Harold W is an sole proprietor health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reedy, Harold W can be contacted via phone (606) 528-1212.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30579 Kentucky

Profile Details

NPI number 1760583322
LBN Legal business name Reedy, Harold W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Dec 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760583322 NPPES
Kentucky MEDICAID 64305790
Kentucky Other P01462912

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