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NPI Code Detail

MEDICARE: KELLEN MEYER PHARMD

MEDICARE:   KELLEN  MEYER  PHARMD
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
1183500000XPharmacist26030023AIN

General Provider Information

NPI Number : 1346966611
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEN MEYER PHARMD
Provider Business Mailing Address
First Line : 6191 N KEYSTONE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-2423
Country : US
Telephone Number : 260-602-5842
Fax Number : 317-257-6847
Provider Business Practice Location Address
First Line : 6191 N KEYSTONE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-2423
Country : US
Telephone Number : 317-257-6847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 12/02/2023

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Directions to “ KELLEN MEYER PHARMD” Practice Location

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