Provider Demographics
NPI:1154710481
Name:REED, KATE (LSA)
Entity type:Individual
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First Name:KATE
Middle Name:
Last Name:REED
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Gender:F
Credentials:LSA
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Mailing Address - Street 1:9101 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5927
Mailing Address - Country:US
Mailing Address - Phone:214-370-4813
Mailing Address - Fax:469-375-3844
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:SUITE 600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5927
Practice Address - Country:US
Practice Address - Phone:214-370-4813
Practice Address - Fax:469-375-3844
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2017-11-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO155941OtherCERTIFIED SURGICAL FIRST ASSISTANT