Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.0028497 | OH |
NPI | 1013502210 |
---|---|
Provider Name | Kinsey Kay Reeves |
First Address | Perrysburg, OH 43551-5238 |
Second Address | Perrysburg, OH 43551-5238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2021 |
Last Update Date | 23/09/2021 |