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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538176151 | NPPES |
| Florida | Other | 55491Y | MEDICARE |
| Florida | MEDICAID | 380983800 | MEDICARE |
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