Basic Information
Provider Information
NPI: 1477674331
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: READING
FirstName: KELLIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2006 HOGBACK RD
Address2: SUITE 5A
City: ANN ARBOR
State: MI
PostalCode: 481059750
CountryCode: US
TelephoneNumber: 7347862317
FaxNumber: 7347864977
Practice Location
Address1: 5301 E HURON RIVER DR STE 5A
Address2:  
City: YPSILANTI
State: MI
PostalCode: 481971051
CountryCode: US
TelephoneNumber: 7347125898
FaxNumber: 7347864977
Other Information
ProviderEnumerationDate: 04/02/2007
LastUpdateDate: 05/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35.142010OHN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X4301083747MIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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