Individual
MARANDA MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10510 LA GRANGE RD, FLYNN BUILDING C/O CENTRAL STATE HOSPITAL, LOUISVILLE, KY 40223-1277
(502) 589-6000
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-6000
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2036359
KY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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