Individual provider · Type 1 NPI

Kevin Reese, NP

Gerontology Nurse Practitioner · Dallas, TX

NPI number 1174190979 Active

Practice location

4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001

Mailing address

PO Box 392571
Pittsburgh, PA 15251-9571

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAP111111 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1174190979

Kevin Reese, NP's National Provider Identifier is 1174190979, issued on Jun 9, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Jun 9, 2021.