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NPI Code Detail

MEDICARE: KATHLEEN KALZ MEYER NP

MEDICARE: KATHLEEN KALZ MEYER NP
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
1363LF0000XFamily Nurse Practitioner2013040389MO
2363L00000XNurse Practitioner2013040389MO

General Provider Information

NPI Number : 1154742112
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN KALZ MEYER NP
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6071 TELEGRAPH RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-4758
Country : US
Telephone Number : 314-687-2712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 10/22/2020

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Directions to “ KATHLEEN KALZ MEYER NP” Practice Location

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