Individual
KIRK D MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 328-8150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10771-33
WI
363LA2100X
Acute Care Nurse Practitioner
10771-33
WI
363LA2100X
Acute Care Nurse Practitioner
209.022918
IL
363LA2200X
Adult Health Nurse Practitioner
10771-33
WI
363LA2200X
Adult Health Nurse Practitioner
209.022918
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
10771-33
WI
363LC0200X
Critical Care Medicine Nurse Practitioner
209.022918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160183
—
WI
Enumeration date
03/03/2021
Last updated
04/20/2026
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