Individual
KETTIE D MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19641 E PARKER SQUARE DR, SUITE A, PARKER, CO 80134-7399
(303) 841-2212
(303) 841-4716
Mailing address
19641 E PARKER SQUARE DR, SUITE A, PARKER, CO 80134-7399
(303) 841-2212
(303) 841-4716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1982
CO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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