Reynolds, Kathy L
Reynolds, Kathy L is an individual health care provider with primary practice located at 800 East 21St Street , Sioux Falls SD 57105-1016. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Reynolds, Kathy L can be contacted via phone (605) 322-8000.Contact Information
Primary practice address
800 East 21St Street
Sioux Falls SD 57105-1016
Phone: (605) 322-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 4743 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9701856 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 11712 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 4743 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 38372 | Colorado |
Profile Details
| NPI number | 1124076278 |
|---|---|
| LBN Legal business name | Reynolds, Kathy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 13th, 2008 - about 16 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 | 1124076278 | NPPES |
| North Carolina | MEDICAID | 891113P | |
| North Carolina | MEDICAID | 002019725 | |
| North Carolina | MEDICAID | 64900789 | |
| North Carolina | MEDICAID | 063407700 | |
| North Carolina | MEDICAID | 6700510 |
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