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Individual
TARA MEREDITH
Active
Individual
TARA MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3014335
KY
363LF0000X
Family Nurse Practitioner
Primary
3014335
KY
363LP0200X
Pediatric Nurse Practitioner
3014335
KY
Other
Enumeration date
02/13/2020
Last updated
03/06/2026
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