| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAITLYN YVONNE MEADS | 1760062145 | 2021-04-10 |
Kaitlyn Yvonne Meads is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760062145. Registration indicates Kaitlyn Yvonne Meads is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Kaitlyn Yvonne Meads DO |
| Practice Office Address | 3200 MACCORKLE AVE SE CHARLESTON, WV US |
| Practice Office Telephone | 3043884172 |
| Practice Office Fax | 3043884155 |
| Mailing Address | 3200 MACCORKLE AVE SE CHARLESTON, WV 253041227 US |
| Business Telephone | 3043884172 |
| Business Fax | 3043884155 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |