Doctor Name: | KRISTI MARSHA REESE |
NPI Number: | 1730381732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN8251 |
Business Practice Address: | 2140 Centerville Rd Tallahassee, FL - 323084314 |
Business Phone Number: | 8503833333 |
Business Fax Number: | 8503833487 |
Mailing Address: | Po Box 15349, TALLAHASSEE |
State: | FL |
Postal Code: | 323175349 |
Phone Number: | 8503833333 |
Fax Number: | 8503833487 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | TRN8251 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |