Provider Demographics
NPI:1023191525
Name:REYNOLDS, KATHRYN ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ELAINE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1515 N FLAGLER DR STE 430
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3430
Mailing Address - Country:US
Mailing Address - Phone:561-659-6336
Mailing Address - Fax:561-659-9353
Practice Address - Street 1:550 HERITAGE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3029
Practice Address - Country:US
Practice Address - Phone:561-659-6336
Practice Address - Fax:561-659-9353
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93257207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism