Reynolds, Teresa A
Reynolds, Teresa A is an individual health care provider with primary practice located at 3311 E Murdock St , Wichita KS 67208-3054. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Reynolds, Teresa A can be contacted via phone (316) 689-9188.Contact Information
Primary practice address
3311 E Murdock St
Wichita KS 67208-3054
Phone: (316) 689-9188
Fax: (316) 689-9140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22267 | Kansas |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 04-22267 | Kansas |
Profile Details
| NPI number | 1205871712 |
|---|---|
| LBN Legal business name | Reynolds, Teresa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jun 24th, 2015 - about 10 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 | 1205871712 | NPPES |
| Kansas | Other | 775 | PHS |
| Kansas | Other | 018255 | PHS |
| Kansas | MEDICAID | 100208490A | PHS |
| Kansas | Other | 16918 | PHS |
| Kansas | Other | 200145 | PHS |
| Kansas | Other | 12149395 | PHS |
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