Anderson, Meredith Kaye

Anderson, Meredith Kaye is an individual health care provider with primary practice located at 1300 E Centennial Dr , Pittsburg KS 66762-6650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Meredith Kaye can be contacted via phone (620) 231-5965.

Contact Information

Primary practice address
1300 E Centennial Dr Pittsburg KS 66762-6650
Phone: (620) 231-5965
Fax: (620) 231-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2011001434 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1501180 Kansas

Profile Details

NPI number 1588843833
LBN Legal business name Anderson, Meredith Kaye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Apr 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588843833 NPPES
Kansas MEDICAID 200532820D

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