Individual
KIPLY JASON MYERS
Active
Individual
KIPLY JASON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01045356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110661
ANTHEM
IN
01
—
343428
MHN
IN
Enumeration date
08/15/2005
Last updated
07/13/2026
Update your record
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