Individual
DR. MEREDITH A LANDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 578-5651
(859) 331-3456
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5651
(859) 331-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40371
KY
2080A0000X
Pediatric Adolescent Medicine Physician
40371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64125131
—
KY
Enumeration date
06/26/2006
Last updated
07/31/2025
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