Provider Demographics
NPI:1578677548
Name:MEYERS, JEFFERY SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:SCOTT
Last Name:MEYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 CHEROKEE SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42629-7925
Mailing Address - Country:US
Mailing Address - Phone:606-584-7699
Mailing Address - Fax:
Practice Address - Street 1:130 W STEVE WARINER DR
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-4540
Practice Address - Country:US
Practice Address - Phone:270-866-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY669770OtherACN
KY431461126OtherHUMANA
KY000000350112OtherBC/BS
KY7271638OtherAETNA