Individual
KEN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5265 COMMERCE BLVD STE D, CROWN POINT, IN 46307-5327
(855) 407-8196
Mailing address
5265 COMMERCE BLVD STE D, CROWN POINT, IN 46307-5327
(855) 407-8196
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
71010217A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010217A
IN
Other
Enumeration date
10/10/2020
Last updated
02/09/2026
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