Meredith, Kelly M

Meredith, Kelly M is an individual health care provider with primary practice located at 1228 Se Port St Lucie Blvd , Port Saint Lucie FL 34952-5330. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Meredith, Kelly M can be contacted via phone (772) 878-9355.

Contact Information

Primary practice address
1228 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5330
Phone: (772) 878-9355
Fax: (772) 398-4988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHOOO6729 Florida

Profile Details

NPI number 1538176151
LBN Legal business name Meredith, Kelly M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 16th, 2014 - about 10 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 1538176151 NPPES
Florida Other 55491Y MEDICARE
Florida MEDICAID 380983800 MEDICARE

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