Provider Demographics
NPI:1043915275
Name:REYNOLDS, KIMBERLY CURLEY
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CURLEY
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 NE HOLLINSHEAD DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3715
Mailing Address - Country:US
Mailing Address - Phone:541-408-6111
Mailing Address - Fax:
Practice Address - Street 1:1310 NE HOLLINSHEAD DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3715
Practice Address - Country:US
Practice Address - Phone:541-408-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator