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NPI Code Detail

MEDICARE: KENDRA LEIGH MEYER PAC

MEDICARE: KENDRA LEIGH MEYER PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA002709LPA

General Provider Information

NPI Number : 1336148907
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA LEIGH MEYER PAC
Provider Business Mailing Address
First Line : 85 BEATTY LN
Second Line :
City : SCENERY HILL
State : PA
Zip : 15360-1537
Country : US
Telephone Number : 247-884-5159
Fax Number :
Provider Business Practice Location Address
First Line : 500 W BERKELEY ST
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-5514
Country : US
Telephone Number : 724-430-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 01/29/2024

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Directions to “ KENDRA LEIGH MEYER PAC” Practice Location

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