Provider Demographics
NPI:1568918241
Name:MEIER, KELLI J (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:J
Last Name:MEIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34406 N 27TH DR
Mailing Address - Street 2:BLDG 4, STE 124
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-6082
Mailing Address - Country:US
Mailing Address - Phone:720-987-7732
Mailing Address - Fax:800-487-7074
Practice Address - Street 1:34406 N 27TH DR
Practice Address - Street 2:BLDG 4, STE 124
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6082
Practice Address - Country:US
Practice Address - Phone:720-987-7732
Practice Address - Fax:800-487-7074
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor