Individual
CONNIE MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(502) 897-1604
(502) 897-0489
Mailing address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(502) 897-1604
(502) 897-0489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64050164
—
KY
Enumeration date
08/02/2005
Last updated
02/15/2016
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