Individual
KIMBERLY E MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 KINGS HWY, DEPT. OF NEUROSURGERY, SHREVEPORT, LA 71103-4228
(318) 813-2921
(318) 813-2915
Mailing address
1435 HIGHWAY 2, PLAIN DEALING, LA 71064-4223
(318) 813-2921
(318) 813-2915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10325.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625761
—
LA
Enumeration date
08/25/2005
Last updated
09/08/2010
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