Provider Demographics
NPI:1932135209
Name:REYMOND, RALPH DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:DANIEL
Last Name:REYMOND
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 1:1303 SW FIRST AMERICAN PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-4059
Mailing Address - Country:US
Mailing Address - Phone:785-234-2306
Mailing Address - Fax:785-234-2550
Practice Address - Street 1:823 SW MULVANE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1679
Practice Address - Country:US
Practice Address - Phone:785-234-3451
Practice Address - Fax:785-234-2550
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-149932085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS052464OtherBC/BS PREMIER BLUE
KS100131670BMedicaid
KS100131670BMedicaid
KS052464Medicare ID - Type Unspecified