Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kenzie Raye Reeder

Individual provider Primary Care Nurse Practitioner · NPI 1174294193

Mrs. Kenzie Raye Reeder is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Taylor Regional Medical Group LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
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Practice location Address checks out

1009A N Dupont Sq
Louisville, KY 40207-4612
Phone: (502) 894-9950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 Dowell Rd, Russell Springs, KY 42642-4278 — (270) 866-2440

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 3016700 (KY)

Record details

NPI number1174294193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2021
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Taylor Regional Medical Group Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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