Active NPI
Kenneth R Reynolds, D.O.
- Emergency Medicine Physician
- Lenexa, KS
National Provider Identifier
1548353477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 05-15333
- Practice address
- 11140 Thompson Ave
Lenexa, KS 66219-2301 - Phone
- (913) 492-9675
- Fax
- (913) 894-9591
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 05-15333 | KS | Primary |
| Occupational Medicine Physician | 2083X0100X | 05-15333 | KS |
Addresses
Primary practice location
11140 Thompson Ave
Lenexa, KS 66219-2301
Mailing address
PO Box 219975
Kansas City, MO 64121-9975
Phone (913) 789-4155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-15333 | KS | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548353477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219975",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641219975",
"telephone_number": "913-789-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 THOMPSON AVE",
"city": "LENEXA",
"state": "KS",
"postal_code": "662192301",
"telephone_number": "913-492-9675",
"fax_number": "913-894-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KENNETH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "05-15333",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KS",
"license": "05-15333",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.