Reyes, Kim Marie
Reyes, Kim Marie is an sole proprietor health care provider with primary practice located at 1180 Newfield Ave , Stamford CT 06905-1409. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Reyes, Kim Marie can be contacted via phone (314) 888-5233.Contact Information
Primary practice address
1180 Newfield Ave
Stamford CT 06905-1409
Phone: (314) 888-5233
Fax: (203) 590-8644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G71574 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 274956 | New York |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD2015-0941 | New Mexico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 274956 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101266425 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G071574 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 06221 | Connecticut |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD461619 | Pennsylvania |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R0309 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 49440 | Arizona |
Profile Details
| NPI number | 1548203748 |
|---|---|
| LBN Legal business name | Reyes, Kim Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548203748 | NPPES |
| New Mexico | MEDICAID | 02223040 | |
| New Mexico | MEDICAID | 00G715742 |
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