Provider Demographics
NPI:1114567344
Name:REED, ANGELIA ELAINE
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:ELAINE
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 WALLER AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2909
Mailing Address - Country:US
Mailing Address - Phone:859-608-7260
Mailing Address - Fax:
Practice Address - Street 1:342 WALLER AVE APT 2D
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2909
Practice Address - Country:US
Practice Address - Phone:859-608-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula