Doctor Name: | KRISTIN MICHELLE POWELL REAVIS |
NPI Number: | 1063646974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 156929 |
Business Practice Address: | Unc Family Medicine 590 Manning Drive,cb7595 Chapel Hill, NC - 275990001 |
Business Phone Number: | 9199663711 |
Business Fax Number: | 9199666126 |
Mailing Address: | Unc Family Medicine, 590 Manning Drive,cb7595 CHAPEL HILL |
State: | NC |
Postal Code: | 275990001 |
Phone Number: | 9199663711 |
Fax Number: | 9199666126 |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 06/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 156929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |