Organization
MEADOWVIEW PHYSICIAN PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLAUS BOEL (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
991 MEDICAL PARK DR, MAYSVILLE, KY 41056-8764
(502) 868-5617
Mailing address
991 MEDICAL PARK DR, MAYSVILLE, KY 41056-8764
(502) 868-5617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/19/2014
Last updated
03/06/2025
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