KALEB ARDEN PURCELL REYNOLDS
NPI 1053269878
Physician Assistant - Medical in Raleigh, NC

Active since March 18, 2026
3009 NEW BERN AVE, RALEIGH, NC 27610(919) 232-5021(919) 232-5021 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Kaleb Arden Purcell Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALEB ARDEN PURCELL REYNOLDS (NPI 1053269878) is an individual medical provider in Raleigh, North Carolina and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1053269878
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKALEB ARDEN PURCELL REYNOLDS
Location Address3009 NEW BERN AVERaleigh, NC 27610-1214
Mailing Address1880 Amos StReidsville, NC 27320-6204
Fax(919) 232-5021
Sole ProprietorYes
Enumeration DateMarch 18, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1053269878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3009 NEW BERN AVE, Raleigh, NC 27610

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3009 NEW BERN AVE
RALEIGH, NC 27610
Orthopaedic Surgery
3009 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3009 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3009 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3009 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine (Sports Medicine)
3009 NEW BERN AVE
RALEIGH, NC 27610
Specialist/Technologist (Athletic Trainer)
3009 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3009 NEW BERN AVE
RALEIGH, NC 27610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaleb Reynolds's NPI number?

The NPI number for Kaleb Reynolds is 1053269878. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Kaleb Reynolds located?

Kaleb Reynolds practices at 3009 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 232-5021.

What is Kaleb Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kaleb Reynolds was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.