Individual
KEVIN L MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2500 W STRUB RD, SUITE 150, SANDUSKY, OH 44870-5390
(419) 626-4162
(419) 626-1268
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140335
ANTHEM BLUE CROSS
OH
05
—
2697149
—
OH
01
—
P00389737
MEDICARE RAILROAD
OH
Enumeration date
11/25/2005
Last updated
01/25/2017
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