Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 0424958 | KS |
NPI | 1225013709 |
---|---|
Provider Name | Dr. Michael Francis Reeh |
First Address | Hillsboro, KS 67063-1614 |
Second Address | Hillsboro, KS 67063-1614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 26/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051939 | BLUE CROSS BLUE SHIELD (01) | KS |
100159060C | (05) | KS |
F71580 | (02) | KS |