Meyers, Kenneth Gordon

Meyers, Kenneth Gordon is an sole proprietor health care provider with primary practice located at 2502 E Pikes Peak Ave Ste 100 , Colorado Springs CO 80909-6089. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization. Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization is his primary health care specialty. Meyers, Kenneth Gordon can be contacted via phone (719) 466-8777.

Contact Information

Primary practice address
2502 E Pikes Peak Ave Ste 100 Colorado Springs CO 80909-6089
Phone: (719) 466-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0996511 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0996511 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0996511 Colorado
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X 0996511 Colorado

Profile Details

NPI number 1134899800
LBN Legal business name Meyers, Kenneth Gordon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 4 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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