Individual
MEREDITH KAY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MALLARD CREEK RD STE 395, LOUISVILLE, KY 40207-5167
(502) 895-9421
(502) 899-5762
Mailing address
PO BOX 77651, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01073533A
IN
208000000X
Pediatrics Physician
Primary
46855
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201220600A
—
IN
05
—
7100214600
—
KY
Enumeration date
03/24/2011
Last updated
01/19/2021
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