Individual
KRISTEN A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Mailing address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004982
STATE LICENSE
MI
Enumeration date
06/05/2007
Last updated
04/14/2022
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