Provider Demographics
NPI:1649375247
Name:REED MEDICAL GROUP, CHTD.
Entity type:Organization
Organization Name:REED MEDICAL GROUP, CHTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:OSBERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-842-3635
Mailing Address - Street 1:404 MAINE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1361
Mailing Address - Country:US
Mailing Address - Phone:785-842-3635
Mailing Address - Fax:785-842-8645
Practice Address - Street 1:404 MAINE ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1361
Practice Address - Country:US
Practice Address - Phone:785-842-3635
Practice Address - Fax:785-842-8645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100088400AMedicaid
KS003937Medicare ID - Type Unspecified