Individual
CRAIG A MEILUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN CASE MANAGEMENT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8242
(270) 956-0223
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8242
(270) 956-0223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217984
TX
164X00000X
Licensed Vocational Nurse
217984
TX
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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