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Kenneth W Reed, DO
Family Medicine Physician in St John, Indiana
NPI 1861491805

Kenneth W Reed is a Family Medicine Physician based in St John, IN. Kenneth W Reed practices in St John, IN and has the professional credentials of DO. The NPI Number for Kenneth W Reed is 1861491805 and holds a License No. 02002051A (Indiana).

The current practice location address for Kenneth W Reed is 9660 Wicker Ave, St John, IN and can be reached out via phone at 219-365-1166 and via fax at 219-365-8852. You can also correspond with Kenneth W Reed through the mailing address at 9660 WICKER AVE, ST JOHN, IN - 46373-9487 (mailing address contact number: 219-365-1166).

Location: 9660 Wicker Ave, St John, IN, 46373-9487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861491805
Provider Name
Kenneth W Reed
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
9660 Wicker Ave, St John, IN, 46373-9487
Phone Number
219-365-1166
Fax Number
219-365-8852
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0091143293 01 IL BCBS OF ILLINOIS
080178952 01 IN MEDICARE RAILROAD
000000203724 01 IN ANTHEM BCBS
200341680 05 IN
institution
Provider Business Practice Location Address Details
Address
9660 Wicker Ave
City
St John
State
Indiana
Zip
46373-9487
Phone Number
219-365-1166
Fax Number
219-365-8852
person
Provider Business Mailing Address Details
Address
9660 Wicker Ave
City
St John
State
Indiana
Zip
46373-9487
Phone Number
219-365-1166
Fax Number
219-365-8852
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02002051A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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