Mrs Kenzie Raye Reeder, | |
1009a N Dupont Sq, Louisville, KY 40207-4612 | |
(502) 894-9950 | |
Not Available |
Full Name | Mrs Kenzie Raye Reeder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1009a N Dupont Sq, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174294193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 3016700 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Russell County Hospital | 6204887243 | 22 |
Entity Name | Hepatitis C Treatment Centers Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306611702 PECOS PAC ID: 9133114507 Enrollment ID: O20231212000864 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kenzie Raye Reeder, 1009a N Dupont Sq, Louisville, KY 40207-4612 Ph: (502) 894-9950 | Mrs Kenzie Raye Reeder, 1009a N Dupont Sq, Louisville, KY 40207-4612 Ph: (502) 894-9950 |
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