Provider Demographics
NPI:1497459416
Name:MEUTH, CHRISTOPHER MATTHEW JR
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MATTHEW
Last Name:MEUTH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CHRIS
Other - Middle Name:MATTHEW
Other - Last Name:MEUTH
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:740 S LIMESTONE ROOM K403
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-218-3044
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE ROOM K403
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-218-3044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program