Provider Demographics
NPI:1427396936
Name:ANDREWS-REYNOLDS, KIMBERLY SHERYL (MD)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SHERYL
Last Name:ANDREWS-REYNOLDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21314 BLUE WOOD ASTER CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4393
Mailing Address - Country:US
Mailing Address - Phone:516-316-9454
Mailing Address - Fax:
Practice Address - Street 1:707 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2256
Practice Address - Country:US
Practice Address - Phone:713-636-2621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282641207R00000X
TXU8678207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine