Healthcare Provider Details

I. General information

NPI: 1477916278
Provider Name (Legal Business Name): KAREN L MEEK R.N., IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SHERMAN RD
WHEATON KS
66521-3719
US

IV. Provider business mailing address

13830 SHERMAN RD
WHEATON KS
66521-3719
US

V. Phone/Fax

Practice location:
  • Phone: 785-313-7407
  • Fax:
Mailing address:
  • Phone: 785-313-7407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number13-32787-092
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: