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Individual
DR. KELLY M MEREDITH
Active
Individual
DR. KELLY M MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOO6729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380983800
—
FL
01
—
55491Y
MEDICARE
FL
Enumeration date
08/03/2006
Last updated
09/16/2014
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