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NPI Code Detail

MEDICARE: MRS. MEREDITH ANNE CRAVEN M.E.D

MEDICARE: MRS. MEREDITH ANNE CRAVEN M.E.D
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
1222Q00000XDevelopmental Therapist201309909KY

General Provider Information

NPI Number : 1548195241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEREDITH ANNE CRAVEN M.E.D
Provider Business Mailing Address
First Line : 2813 HINSDALE DR
Second Line :
City : INDEPENDENCE
State : KY
Zip : 41051-8426
Country : US
Telephone Number : 858-775-7873
Fax Number :
Provider Business Practice Location Address
First Line : 2865 CHANCELLOR DR STE A
Second Line :
City : CRESTVIEW HILLS
State : KY
Zip : 41017-3912
Country : US
Telephone Number : 513-791-1458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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