Provider Demographics
NPI:1023405560
Name:REED, KRISTINE GADE (MD)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:GADE
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SHENANDOAH ONCOLOGY
Mailing Address - Street 2:400 CAMPUS BIRD SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3906
Mailing Address - Country:US
Mailing Address - Phone:540-662-1108
Mailing Address - Fax:540-450-2244
Practice Address - Street 1:400 CAMPUS BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3906
Practice Address - Country:US
Practice Address - Phone:540-662-1108
Practice Address - Fax:540-450-2244
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264510207RH0002X, 207RH0003X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1023405560Medicaid