Doctor Name: | CASEY MEYER |
NPI Number: | 1023477205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3010121 |
Business Practice Address: | 865 Taylorsville Rd Shelbyville, KY - 400659124 |
Business Phone Number: | 5024370450 |
Business Fax Number: | |
Mailing Address: | 865 Taylorsville Rd, SHELBYVILLE |
State: | KY |
Postal Code: | 400659124 |
Phone Number: | 5024370450 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3010121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |