Individual provider · Type 1 NPI

Reed Bennett Wise, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1639873474 Active

Practice location

245 Fountain Ct
Lexington, KY 40509-2792

Mailing address

10329 Monte Mar Dr
Los Angeles, CA 90064-3428

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639873474

Reed Bennett Wise, MD's National Provider Identifier is 1639873474, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Mar 27, 2023.