Individual
DR. KENNETH ARTHUR MEIEROTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5972
(618) 257-6604
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5972
(618) 257-6604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036156660
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
06/16/2021
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