Lewallen, Meredith Lee

Lewallen, Meredith Lee is an individual health care provider with primary practice located at 600 Park St # Ll045Mu , Hays KS 67601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewallen, Meredith Lee can be contacted via phone (785) 628-4293.

Contact Information

Primary practice address
600 Park St # Ll045Mu Hays KS 67601
Phone: (785) 628-4293
Fax: (785) 628-4089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77679 Kansas

Profile Details

NPI number 1174050785
LBN Legal business name Lewallen, Meredith Lee
Credentials APRN, MSN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Jul 23rd, 2019 - 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 1174050785 NPPES
Kansas MEDICAID PENDING
Kansas Other PENDING

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