Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME93257 | FL |
NPI | 1023191525 |
---|---|
Provider Name | Dr. Kathryn Elaine Reynolds |
First Address | West Palm Beach, FL 33401-3430 |
Second Address | Jupiter, FL 33458-3029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 25/06/2013 |