| Kevin M Reid D O Inc | |
|
425 W Grand Ave Suite 2001 Dayton OH 45405-4775 | |
| (937) 226-7887 | |
| (937) 224-5098 |
| Full Name | Kevin M Reid D O Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 425 W Grand Ave, Dayton, Ohio |
| Authorized Official Name and Position | Kevin Michael Reid (PRESIDENT) |
| Authorized Official Contact | 9372267887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Reid D O Inc 425 W Grand Ave Suite 2001 Dayton OH 45405-4775 Ph: (937) 226-7887 | Kevin M Reid D O Inc 425 W Grand Ave Suite 2001 Dayton OH 45405-4775 Ph: (937) 226-7887 |
| NPI Number | 1225348626 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225348626 | NPI | - | NPPES |
| 0396076 | Medicaid | OH | |
| 1073514709 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34002459R (Ohio) | Primary |
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