Provider Demographics
NPI:1487625596
Name:REIMER, ARLO JAMES (MD)
Entity Type:Individual
Prefix:
First Name:ARLO
Middle Name:JAMES
Last Name:REIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKIN
Mailing Address - State:KS
Mailing Address - Zip Code:67860-9451
Mailing Address - Country:US
Mailing Address - Phone:620-355-7550
Mailing Address - Fax:
Practice Address - Street 1:506 THORPE ST
Practice Address - Street 2:
Practice Address - City:LAKIN
Practice Address - State:KS
Practice Address - Zip Code:67860
Practice Address - Country:US
Practice Address - Phone:620-355-7550
Practice Address - Fax:620-355-7500
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100364560BMedicaid
KS100364560BMedicaid
KSH19376Medicare UPIN