1851737720 NPI number — KARI REDDIN OTR

Table of content: KARI REDDIN OTR (NPI 1851737720)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851737720 NPI number — KARI REDDIN OTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REDDIN
Provider First Name:
KARI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OTR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851737720
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15658 6282 RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTROSE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81403-8468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-765-0650
Provider Business Mailing Address Fax Number:
970-444-7044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2233 E MAIN ST
Provider Second Line Business Practice Location Address:
BUSINESS OPTIONS MEDICAL BILLING
Provider Business Practice Location Address City Name:
MONTROSE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81401-3831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-765-0818
Provider Business Practice Location Address Fax Number:
970-497-8410
Provider Enumeration Date:
05/17/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  0000266 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 0004559 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)