Individual
KIMFORD JAY MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
G89402
CA
2084N0400X
Neurology Physician
G89402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271668200
—
FL
Enumeration date
06/27/2006
Last updated
11/08/2023
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