Individual
DR. KIMBERLY T MEYER
Active
Individual
DR. KIMBERLY T MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
036094686
IL
2084P0800X
Psychiatry Physician
Primary
01070457A
IN
2084P0800X
Psychiatry Physician
036094686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094686
—
IL
05
—
201043060
—
IN
Enumeration date
10/19/2006
Last updated
01/10/2012
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