Kenneth M Reed MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

49076 Issued in MA

Legal business name

KENNETH M REED MD PC

Practice address

500 Congress St
B1
Quincy, MA 02169-0908

Phone

(617) 472-6764

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Mark Reed, MD

Title

Owner

Phone

(617) 472-6764

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KENNETH M REED MD PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Marie Anderson, F.N.P.-C

  • Family Nurse Practitioner
  • Quincy, MA
  • NPI 1003299090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871668640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "B1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-472-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "B1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-472-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M REED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-472-6764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "49076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013791",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1295775732",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNETH M REED MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee-Ann Kelly, M.ED.
• Olivia Kelly, FNP
• Ashley Kemmett
• Kevin D. Kennedy, LICSW
• Shannan Rose Kennedy
• Kenneth Paul Gilbert
• Regina Marie Kernan, L.I.C.S.W.
• Shannon M Kerr
• Meaghan Lee Kertanis
• Shiri Kessel, MSW

• Dermatology Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.