Individual
MS. VIRGINIA GAIL MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
Mailing address
532 SHAKER MILL RD, BOWLING GREEN, KY 42103-9086
(270) 535-5517
(270) 904-0836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11903135
—
KY
01
—
18-4517
MEDICARE
KY
05
—
33000035
—
KY
05
—
45118379
—
KY
Enumeration date
05/26/2008
Last updated
02/16/2017
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