Provider Demographics
NPI:1801695564
Name:REED, KATHRYN NIKOLE (RN, MSN-ED)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:NIKOLE
Last Name:REED
Suffix:
Gender:
Credentials:RN, MSN-ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 KOCH AVE W
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-4737
Mailing Address - Country:US
Mailing Address - Phone:812-593-6408
Mailing Address - Fax:
Practice Address - Street 1:8600 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-3590
Practice Address - Country:US
Practice Address - Phone:812-593-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28216472A163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine