Chad Allen Reigel, KCSA Valid NPI

Individual provider · Surgical Technologist · Lagrange, KY

NPI

1710912258

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

SA 059 (KY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-12

Last updated

2020-12-08