Individual provider · Type 1 NPI
Kaleb Arden Purcell Reynolds
Medical Physician Assistant · Raleigh, NC
NPI number
1053269878
Active
Practice location
3009 New Bern Ave
Raleigh, NC 27610-1214
Fax (919) 232-5021
Mailing address
1880 Amos St
Reidsville, NC 27320-6204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1053269878
Kaleb Arden Purcell Reynolds's National Provider Identifier is 1053269878, issued on Mar 18, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on May 12, 2026.