MEDICARE: DR. MARY ELIZABETH MEEKER-PREGON

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
1	111N00000X	Chiropractor	0104005	KS
2	111N00000X	Chiropractor	005797	MO

General Provider Information

NPI Number	:	1790847622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ELIZABETH MEEKER-PREGON

Provider Business Mailing Address
First Line	:	112 GRANDE PAS
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3115
Country	:	US
Telephone Number	:	816-237-1093
Fax Number	:	816-237-1297

Provider Business Practice Location Address
First Line	:	8014 STATE LINE RD STE 200
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3712
Country	:	US
Telephone Number	:	913-642-4188
Fax Number	:	913-642-4188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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