Provider Demographics
NPI:1417933268
Name:REEVES, JAMES EARL (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EARL
Last Name:REEVES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:930 IOWA ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1835
Mailing Address - Country:US
Mailing Address - Phone:785-841-4225
Mailing Address - Fax:785-841-0866
Practice Address - Street 1:930 IOWA ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1835
Practice Address - Country:US
Practice Address - Phone:785-841-4225
Practice Address - Fax:785-841-0866
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS12-00P146213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3026701701Medicaid
KS1173201OtherBC/BS NUMBER
KS1173201OtherBC/BS NUMBER
KS0169270001Medicare NSC
KS3026701701Medicaid