Individual
ROY JEFFREY MECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, SUITE 1003, LOUISVILLE, KY 40202-3906
(502) 629-2602
(502) 629-2603
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17018
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001440
—
IN
01
—
50030551
PASSPORT/PP ADVTG - NNS
KY
05
—
64170186
—
KY
Enumeration date
01/18/2006
Last updated
01/20/2021
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