Kleiber, Meredith Ross

Kleiber, Meredith Ross is an individual health care provider with primary practice located at 1655 Wake Dr Suite 101, Wake Forest NC 27587-4745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kleiber, Meredith Ross can be contacted via phone (919) 556-4779.

Contact Information

Primary practice address
1655 Wake Dr Suite 101 Wake Forest NC 27587-4745
Phone: (919) 556-4779
Fax: (919) 556-5277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 194551 North Carolina

Profile Details

NPI number 1598911703
LBN Legal business name Kleiber, Meredith Ross
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Mar 10th, 2017 - about 7 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 1598911703 NPPES
North Carolina Other 20080225 PNCP CERTIFICATION
North Carolina MEDICAID 890115L PNCP CERTIFICATION
North Carolina MEDICAID 7004613 PNCP CERTIFICATION

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