Individual
KELLY JO MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2719 E 32ND ST, JOPLIN, MO 64804-3131
(417) 782-5522
(417) 782-5866
Mailing address
2719 E 32ND ST, JOPLIN, MO 64804-3131
(417) 782-5522
(417) 782-5866
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2008012508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073733069
—
MO
Enumeration date
05/01/2007
Last updated
07/05/2016
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