person
Kathy Diane Reid, APRN,BC
Gerontology Nurse Practitioner in Traverse City, Michigan
NPI 1174525042

Kathy Diane Reid is a Gerontology Nurse Practitioner based in Traverse City, MI and is specialized in Gerontology. Kathy Diane Reid practices in Traverse City, MI and has the professional credentials of APRN,BC. The NPI Number for Kathy Diane Reid is 1174525042 and holds a License No. 4704133106 (Michigan).

The current practice location address for Kathy Diane Reid is 1000 Pavillions Cir, Traverse City, MI and can be reached out via phone at 231-932-3801 and via fax at 231-421-3789.

Location: 1000 Pavillions Cir, Traverse City, MI, 49684-1364
person
Provider Profile Details
NPI Number
1174525042
Provider Name
Kathy Diane Reid
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
1000 Pavillions Cir, Traverse City, MI, 49684-1364
Phone Number
231-932-3801
Fax Number
231-421-3789
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4570969 05 MI
institution
Provider Business Practice Location Address Details
Address
1000 Pavillions Cir
City
State
Zip
49684-3198
Phone Number
231-932-3801
Fax Number
231-421-3789
person
Provider Business Mailing Address Details
Address
1000 Pavillions Cir
City
State
Zip
49684-3198
Phone Number
231-932-3801
Fax Number
231-421-3789
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704133106 (Michigan)
Definition
Definition to come...
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