MR. KEVIN D REYNOLDS (NPI# 1386934446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386934446 |
| Entity Type | Individual |
| Full Name | MR. KEVIN D REYNOLDS |
| Credential | PLPC |
| Practice Address |
2700 Mcclelland Blvd B-207 Joplin MO 64804-1623 |
| Practice Telephone | 4176279994 |
| Practice Fax Number | 4176279995 |
| Mailing Telephone | 4176279994 |
| Mailing Fax Number | 4176279995 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2011009557 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922393123 | Kevin Michael Reynolds | Durable Medical Equipment & Medical Supplies | 210 Rensselaer Street, Rensselaer Falls, NY 13680-0011 | 2011-06-15 |
| 1063640043 | Kevin Michael Reynolds | Optometrist | 15330 Interstate 35 N, Selma, TX 78154-3814 | 2009-06-29 |
| 1750824934 | Kevin James Reynolds | Counselor | 1303 Garfield Ave, Harlan, IA 51537-2063 | 2016-11-21 |
| 1235580309 | Kevin Reynolds | Physical Therapist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-7029 | 2016-06-29 |
| 1174915433 | Kevin Brent Reynolds | Counselor | 300 Se Reed Market Rd, Suite 215, Bend, OR 97702-2237 | 2015-02-24 |
| 1093937237 | Kevin M Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-05-03 |
| 1922008051 | Kevin Michael Reynolds | Pharmacist | 101 Hospital Dr, Columbus, NC 28722-6418 | 2005-07-29 |
| Street Address |
2700 MCCLELLAND BLVD B-207 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920343 | Gary L Parker | Chiropractor | 2700 Mcclelland Blvd, Bldg. B, Suite 213, Joplin, MO 64804-1623 | 2005-08-24 |
| 1114242914 | Physicians Medical Clinic, LLC | Family Medicine | 2700 Mcclelland Blvd, Bldg. B Ste. 216, Joplin, MO 64804-1623 | 2010-04-05 |
| 1114253820 | Sarah E Neldeberg | Counselor | 2700 Mcclelland Blvd, Bldg B Ste 207, Joplin, MO 64804-1623 | 2009-10-30 |
| 1902045453 | Rachel A Webster | Counselor | 2700 Mcclelland Blvd, Bldg B, Ste 207, Joplin, MO 64804-1623 | 2009-02-06 |
| 1639345937 | Joplin Oral Surgery PC | Dentist | 2700 Mcclelland Blvd, Bldg C Suite 302, Joplin, MO 64804-1623 | 2008-05-06 |
| 1811039621 | David E Hargroder | Surgery | 2700 Mcclelland Blvd, Suite 108 Bldg A, Joplin, MO 64804-1623 | 2007-02-12 |
| 1306900410 | William Martin Roehling | Dentist | 2700 Mcclelland Blvd, B 210, Joplin, MO 64804-1624 | 2006-12-21 |
| 1639129422 | Trey M Butler | Ophthalmology | 2700 Mcclelland Blvd, Bldg. C, Suite 304, Joplin, MO 64804-1623 | 2006-05-11 |
| 1841248648 | Chad Hunter | Counselor | 2700 Mcclelland Blvd, B-207, Joplin, MO 64804 | 2006-05-04 |
| 1326028242 | Michael John Patterson | Dentist | 2700 Mcclelland Blvd, Bldg. A, Ste. 102, Joplin, MO 64804-1623 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1932692647 | Kristine Shirley Gustafson | Counselor | 123 S Moffet Ave, Joplin, MO 64801-2618 | 2018-06-08 |
| 1265946131 | Virginia Hayes | Counselor | 705 W 26th St, Joplin, MO 64804-1904 | 2017-11-29 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1003279555 | Darla Wyatt | Counselor | 3405 S. Hammons Blvd., Joplin, MO 64804 | 2016-04-01 |
| 1104162775 | Andrea Dana Lee Phillips | Counselor | 707 Pearl Street, Suite B, Joplin, MO 64801-1241 | 2012-12-29 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1518219187 | Cynthia L Martin | Counselor | 4710 E 32nd St, Joplin, MO 64804-4411 | 2012-10-08 |
| 1528338415 | Phyllis Irene Cook | Counselor | 707 S Pearl Ave, Joplin, MO 64801-4334 | 2012-01-09 |
| 1578874160 | Melinda Annette Gibson | Counselor | 1840 N Range Line Rd Ste 6, Joplin, MO 64801-8322 | 2010-06-29 |
| Find all providers in JOPLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.