Individual
MARK C MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-8500
(913) 588-1944
(913) 588-2496
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-23271
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080082390
RAILROAD MEDICARE
—
01
—
18888023
BCBS KANSAS CITY
KS
05
—
2050313601
—
KS
05
—
208628503
—
MO
01
—
626550
FIRSTGUARD
KS
Enumeration date
09/15/2006
Last updated
07/16/2014
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