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NPI Code Detail

MEDICARE: KRISTY LYNN MYERS M.D

MEDICARE: KRISTY LYNN MYERS M.D
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
1207Q00000XFamily Medicine Physician35123247OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982994893
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY LYNN MYERS M.D
Provider Business Mailing Address
First Line : 3515 MASSILLON RD
Second Line : SUITE 300
City : UNIONTOWN
State : OH
Zip : 44685-6400
Country : US
Telephone Number : 330-899-9350
Fax Number : 330-634-1329
Provider Business Practice Location Address
First Line : 4444 ARLINGTON RD
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9508
Country : US
Telephone Number : 330-896-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 09/12/2016

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