Meredith J Etheridge in Paducah - Pediatrics
Meredith J Etheridge - NPI 1417128083
Meredith J Etheridge is a Pediatrics in Paducah, Kentucky. Meredith J Etheridge practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Meredith J Etheridge is 1417128083. The last update date is 2023-02-14.
Meredith J Etheridge's current location address is 225 Medical Center Dr Ste 304, Paducah, Kentucky. You can contact this provider via phone number 2705385596. The mailing address for Meredith J Etheridge is 225 Medical Center Dr Ste 304, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Meredith J Etheridge |
|---|---|
| Address | 225 Medical Center Dr Ste 304, Paducah, Kentucky |
| Phone Number | 2705385596 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1417128083 |
|---|---|
| Provider Enumeration Date | 2008-03-21 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | 225 Medical Center Dr Ste 304 |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 420037915 |
| Phone Number | 2705385596 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 5182P |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K245300 | KY | MEDICARE PTAN | |
| 7100062510 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Meredith J Etheridge by the Centers for Medicare & Medicaid Services?
The Meredith J Etheridge has been issued the NPI (National Provider Identifier) 1417128083 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Meredith J Etheridge?
The Meredith J Etheridge is situated at 225 Medical Center Dr Ste 304, in the city of Paducah, state of KY, with the zip code 420037915.
What is the Meredith J Etheridge's area of specialization and corresponding taxonomy classification?
The Meredith J Etheridge's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Meredith J Etheridge receive its 1417128083 assignment from the Centers for Medicare & Medicaid Services?
The Meredith J Etheridge was assigned its 1417128083 by the Centers for Medicare & Medicaid Services on 2008-03-21.
As of what date were the Meredith J Etheridge's details last updated?
The information pertaining to the Meredith J Etheridge, including its address, specialty, and other details, was most recently updated on 2023-02-14.
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