Provider Demographics
NPI:1992968549
Name:REID, TONIA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:TONIA
Middle Name:LYNN
Last Name:REID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:BUILDING C, SUITE 406
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1471
Mailing Address - Country:US
Mailing Address - Phone:859-276-4391
Mailing Address - Fax:859-278-0047
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:BUILDING C, SUITE 406
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1471
Practice Address - Country:US
Practice Address - Phone:859-276-4391
Practice Address - Fax:859-278-0047
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY41040282NC2000X, 2080N0001X
KY40140208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No282NC2000XHospitalsGeneral Acute Care HospitalChildren
No208000000XAllopathic & Osteopathic PhysiciansPediatrics