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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS JOSEPH REIST, PA

Active Sole Proprietor

NICHOLAS JOSEPH REIST, PA is a Physician Assistant healthcare provider located in EDGEWOOD, Kentucky. NPI 1922463918 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDGEWOOD, KY

Registration Details

NPI Number
1922463918
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2015 (10.653511251708 yrs)
Last Updated
Oct 26, 2021
Licenses
PA2424 (KY)
50 004628RX (OH)
TC752 (KY)
Sole Proprietor
Yes

Practice Information

Address
560 S LOOP RD
EDGEWOOD, KY, 410173405
Browse KY providers · Browse ZIP 41017
Phone
8593012663
Fax
8598177848
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EDGEWOOD, KY

Name Credential NPI
DR. PAUL L LANKISCH JR. PA C 1750363750
ANDREA C GREEN P.A.-C 1356328231
MRS. CARMEN S. GRANDT PA-C 1861440984
MISS CASEY LYNN DOTY PA-C 1053528380
MRS. AMANDA MALLORY SPILLMAN PA-C 1881866689
MRS. CORINNE LENORE MOORE PA-C 1225203128
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.