Individual
KEITH ORVAL MEINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 268-8951
Mailing address
498 THORN TREE DR, BOONE, NC 28607-8003
(704) 451-3711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11341
NC
Other
Enumeration date
06/18/2021
Last updated
06/23/2021
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