Reynolds, Daniel

Reynolds, Daniel is an individual health care provider with primary practice located at 165 Natchez Trace Ave Suite 205, Bowling Green KY 42103-7940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Reynolds, Daniel can be contacted via phone (270) 745-7246.

Contact Information

Primary practice address
165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940
Fax: (270) 282-2027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 44705 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 44705 Kentucky

Profile Details

NPI number 1528100625
LBN Legal business name Reynolds, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 13th, 2024 - about 10 months 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 1528100625 NPPES
Kentucky MEDICAID 7100170800

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