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Individual

JONATHAN HAK MEREDITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
719 E MADISON ST, LOUISVILLE, KY 40202-1629
(279) 292-1154
Mailing address
719 E MADISON ST, LOUISVILLE, KY 40202-1629
(279) 292-1154

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
KY

Other

Enumeration date
04/19/2024
Last updated
04/19/2024
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