Doctor Name: | KRYSTAL KARMEN REEDY |
NPI Number: | 1235597261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 3199 |
Business Practice Address: | 100 Sparks Ave Nicholasville, KY - 403561004 |
Business Phone Number: | 8598854171 |
Business Fax Number: | |
Mailing Address: | 673 Vonbryan Trce, LEXINGTON |
State: | KY |
Postal Code: | 405092138 |
Phone Number: | 8595824522 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2016 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |