Individual
BRYCE A. MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2780 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-4100
(270) 648-4678
Mailing address
2780 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-4100
(270) 648-4678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04326
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
04326
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100383610
—
KY
Enumeration date
07/30/2014
Last updated
10/14/2024
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