Reynolds, R Kevin

Reynolds, R Kevin is an individual health care provider with primary practice located at 1500 East Medical Center Dr 1St Floor Cancer & Geriatrics Ctr Recp C, Ann Arbor MI 48109-5902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Reynolds, R Kevin can be contacted via phone (734) 647-8906.

Contact Information

Primary practice address
1500 East Medical Center Dr 1St Floor Cancer & Geriatrics Ctr Recp C Ann Arbor MI 48109-5902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301053833 Michigan
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 4301053833 Michigan

Profile Details

NPI number 1528155397
LBN Legal business name Reynolds, R Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 29th, 2012 - about 12 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 1528155397 NPPES
Michigan MEDICAID 1988863

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