| Doctor Name: | KELLEY RENEE REED |
| NPI Number: | 1750301784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 004904 |
| Business Practice Address: | 603 South Jefferson Street Ava, MO - 65608 |
| Business Phone Number: | 4176833398 |
| Business Fax Number: | |
| Mailing Address: | Rr 1 Box 53, MOUNTAIN GROVE |
| State: | MO |
| Postal Code: | 657119505 |
| Phone Number: | 4179482637 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |