Provider Demographics
NPI:1164507216
Name:KRESS, REED A (DC)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:A
Last Name:KRESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1855
Mailing Address - Country:US
Mailing Address - Phone:812-423-9146
Mailing Address - Fax:775-766-6516
Practice Address - Street 1:915 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1855
Practice Address - Country:US
Practice Address - Phone:812-423-9146
Practice Address - Fax:775-766-6516
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001908A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200374320AMedicaid