| Doctor Name: | KATHLEEN ELLEN MEYER |
| NPI Number: | 1093955072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP |
| License Number: | 181518 |
| Business Practice Address: | 3696 Beverly Hills Dr Rocky River, OH - 441163745 |
| Business Phone Number: | 4403761257 |
| Business Fax Number: | 4403317486 |
| Mailing Address: | 3696 Beverly Hills Dr, ROCKY RIVER |
| State: | OH |
| Postal Code: | 441163745 |
| Phone Number: | 4403761257 |
| Fax Number: | 4403317486 |
| NPI Enumeration Date: | 03/03/2009 |
| NPI Last Update Date: | 03/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | 181518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |