Healthcare Provider Details

I. General information

NPI: 1548195241
Provider Name (Legal Business Name): MEREDITH ANNE CRAVEN M.E.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 CHANCELLOR DR STE A
CRESTVIEW HILLS KY
41017-3912
US

IV. Provider business mailing address

2813 HINSDALE DR
INDEPENDENCE KY
41051-8426
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-1458
  • Fax:
Mailing address:
  • Phone: 858-775-7873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number201309909
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: