Provider Demographics
NPI:1497356521
Name:MEIER, KIMBERLY (MA, FAAA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:MEIER
Suffix:
Gender:F
Credentials:MA, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FALCON WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-9089
Mailing Address - Country:US
Mailing Address - Phone:859-421-9441
Mailing Address - Fax:
Practice Address - Street 1:1000 FALCON WOOD WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-9089
Practice Address - Country:US
Practice Address - Phone:859-421-9441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004166231H00000X
FLAY2255231H00000X
KY100119231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist