Individual
KEVIN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-7180
Mailing address
1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-6510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-11787
AR
208600000X
Surgery Physician
MD.09302R
LA
208600000X
Surgery Physician
ME73407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184417001
—
AR
05
—
1993158
—
LA
05
—
252221100
—
FL
01
—
41948
BCBS
FL
Enumeration date
11/14/2007
Last updated
09/08/2025
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