person
Kenneth J Reed, PAC
Medical Physician Assistant in Jellico, Tennessee
NPI 1649369141

Kenneth J Reed is a Medical Physician Assistant based in Jellico, TN and is specialized in Medical. Kenneth J Reed practices in Jellico, TN and has the professional credentials of PAC. The NPI Number for Kenneth J Reed is 1649369141 and holds a License No. PA0000000105 (Tennessee).

The current practice location address for Kenneth J Reed is 131 Hospital Ln, Jellico, TN and can be reached out via phone at 423-784-7269 and via fax at 423-784-3708.

Location: 131 Hospital Ln, Jellico, TN, 37762-0447
person
Provider Profile Details
NPI Number
1649369141
Provider Name
Kenneth J Reed
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
131 Hospital Ln, Jellico, TN, 37762-0447
Phone Number
423-784-7269
Fax Number
423-784-3708
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1522588 05 TN
institution
Provider Business Practice Location Address Details
Address
131 Hospital Ln
City
State
Zip
37762-4404
Phone Number
423-784-7269
Fax Number
423-784-3708
person
Provider Business Mailing Address Details
Address
131 Hospital Ln
City
State
Zip
37762-4404
Phone Number
423-784-7269
Fax Number
423-784-3708
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0000000105 (Tennessee)
Definition
Definition to come...
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