DR. KENNETH J. REID JR.


Address: 1710 14th St, Meridian, MS 39301-4140
Phone: 6014829211

DR. KENNETH J. REID JR. (NPI# 1770565798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770565798
Entity Type Individual
Full Name DR. KENNETH J. REID JR.
Credential M.D.
Practice Address 1710 14th St
Meridian
MS 39301-4140
Mailing Address Po Box 5183
Meridian
MS 39302-5183
Practice Telephone 6014829211
Practice Fax Number 6014829497
Mailing Telephone 6017039506
Mailing Fax Number 6017033264
Enumeration Date 2005-11-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 09031 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS OF AL 731-01758 01
MS 00115342 05

Other Providers KENNETH REID

NPI Name Taxonomy Address Enumeration
1962780700 Kenneth Aaron Reid Physical Therapy Assistant 59 Townsend Street, Boston, MA 02119 2011-07-27
1790250520 Kenneth E Reid Counselor 22320 Foothill Blvd, Hayward, CA 94541-2885 2018-10-08
1992978308 Kenneth J. Reid Nurse Practitioner 275 North St, Act Team, Harrison, NY 10528-1140 2008-04-07
1154505071 Kenneth Edward Reid Social Worker 5220 Lovers Lane, Ll 100, Portage, MI 49002 2007-12-27
1861421851 Kenneth Marshall Reid Anesthesiology 425 Jack Martin Blvd, Brick, NJ 08724-7732 2006-07-02

Office Location

Street Address 1710 14TH ST
City MERIDIAN
State MS
Zip Code 39301-4140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336121342 Samuel Scott Massingill Pediatrics 1710 14th St, Meridian, MS 39301-4140 2005-11-16
1841645850 Kari Moore Nurse Practitioner 1710 14th St, Meridian, MS 39301-4140 2016-04-27
1306232541 Richard Nance II Family Medicine 1710 14th St, Meridian, MS 39301-4140 2015-04-14
1275885378 Kemper Cah, Inc Family Medicine 1710 14th St, Meridian, MS 39301-4140 2012-10-12
1275884793 Martin L Price Nurse Practitioner 1710 14th St, Meridian, MS 39301-4140 2012-09-24
1508017153 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1710 14th St, Meridian, MS 39301-4140 2008-10-01
1932362860 Rush Care, Inc. Clinic/Center 1710 14th St, Meridian, MS 39301-4140 2008-07-10
1679740997 Neva Jo Pettigrew Nurse Practitioner 1710 14th St, Meridian, MS 39301-4140 2008-05-15
1770505141 Olivia Darnell Johnson Nurse Practitioner 1710 14th St, Meridian, MS 39301-4140 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
Find all providers in zip 39301

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801216940 Seth Branahl Pediatrics 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 2014-04-16
1972872950 John Dubard Mceachin Pediatrics 4820 Country Club Dr, Meridian, MS 39305-1839 2011-12-21
1841598273 Anderson Physician Alliance, Inc. Pediatrics 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 2011-03-09
1033435896 Lisa S Labor Pediatrics 1620 S. Celebration, Meridian, ID 83642 2010-04-19
1770729063 Alliance Medical Group, LLC Pediatrics 3280 E. Lanark Drive, Meridian, ID 83642 2008-12-17
1356504872 Robert Ira Eubanks Pediatrics 1523 22nd Ave Ste B, Meridian, MS 39301-4016 2008-07-03
1154535375 Mary Alice Schaefer Pediatrics 7961 Van Zyverden Rd, Meridian, MS 39305-9124 2007-05-09
1063557163 Eastgate Peds Care Pediatrics 2203 Highway 39 N Ste B, Meridian, MS 39301-2609 2007-02-20
1477501880 Elsa J. Lee Pediatrics 1620 S Celebration Ave, Meridian, ID 83642-2779 2006-05-05
1356306740 Kimberly D Ferguison Pediatrics 3277 E Louise Dr Ste 200, Meridian, ID 83642-9351 2006-04-19
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 39301

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Dataset Information

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.

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