Provider Demographics
NPI:1851403950
Name:REESE, RONALD MATTHEW (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:MATTHEW
Last Name:REESE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:785-542-3390
Mailing Address - Fax:913-588-5916
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAIL STOP 4003
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-5900
Practice Address - Fax:913-588-5916
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KSLP 8062080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics