Provider Demographics
NPI:1033944095
Name:REED, IKESHIA
Entity type:Individual
Prefix:
First Name:IKESHIA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E NATIONAL AVE APT 225
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1893
Mailing Address - Country:US
Mailing Address - Phone:414-334-4747
Mailing Address - Fax:
Practice Address - Street 1:120 E NATIONAL AVE APT 225
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1893
Practice Address - Country:US
Practice Address - Phone:414-334-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide