Healthcare Provider Details

I. General information

NPI: 1538347208
Provider Name (Legal Business Name): KATHERINE KLAR MEYER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 W LEGION AVE
WHITEHALL MT
59759-0547
US

IV. Provider business mailing address

PO BOX 547
WHITEHALL MT
59759-0547
US

V. Phone/Fax

Practice location:
  • Phone: 406-287-3217
  • Fax: 406-287-3217
Mailing address:
  • Phone: 406-287-3217
  • Fax: 406-287-3217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number727
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: