Provider Demographics
NPI:1598966285
Name:HURLEY, MEGHAN WALKER II
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:WALKER
Last Name:HURLEY
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 RUE THIERRY DR
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-5951
Mailing Address - Country:US
Mailing Address - Phone:270-554-4920
Mailing Address - Fax:
Practice Address - Street 1:150 RUE THIERRY DR
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-5951
Practice Address - Country:US
Practice Address - Phone:270-554-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist