Provider Demographics
NPI:1942255740
Name:REED, EMILY K (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-715-5300
Mailing Address - Fax:405-715-5350
Practice Address - Street 1:2916 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034
Practice Address - Country:US
Practice Address - Phone:405-715-5300
Practice Address - Fax:405-715-5350
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK19843208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100823920AMedicaid
P00290914OtherRAILROAD MEDICARE
OK100823920AMedicaid
243607601Medicare PIN