Reynolds, David Kenneth
Reynolds, David Kenneth is an sole proprietor health care provider with primary practice located at 12600 Creekside Ln Ste 2 , Fort Myers FL 33919-3353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Reynolds, David Kenneth can be contacted via phone (239) 343-9235.Contact Information
Primary practice address
12600 Creekside Ln Ste 2
Fort Myers FL 33919-3353
Phone: (239) 343-9235
Fax: (239) 343-4008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 3529 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS18424 | Florida |
Profile Details
| NPI number | 1942207477 |
|---|---|
| LBN Legal business name | Reynolds, David Kenneth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Apr 22nd, 2022 - 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 | 1942207477 | NPPES |
| Arizona | Other | 68935 | MEDICARE GROUP NUMBER |
| Arizona | MEDICAID | 113522100 | MEDICARE GROUP NUMBER |
| Arizona | MEDICAID | 503179 | MEDICARE GROUP NUMBER |
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