Individual
KEVIN DAVID MEAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1625 MEDICAL CENTER PT STE 190, COLORADO SPRINGS, CO 80907-8721
(719) 345-1047
(877) 647-0202
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
DR.0016815
CO
207Y00000X
Otolaryngology Physician
0102201092
VA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
DR.0016815
CO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0102201092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR0016815
COLORADO MEDICAL BOARD
CO
Enumeration date
04/22/2006
Last updated
03/06/2024
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