Individual
BENJAMIN THOMAS MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9331626
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
3015742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300047189
—
IN
05
—
7100718160
—
KY
Enumeration date
01/08/2021
Last updated
02/08/2021
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