Provider Demographics
NPI:1801865787
Name:MEECE, DANIEL
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:MEECE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CATHEDRAL MNR
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-1246
Mailing Address - Country:US
Mailing Address - Phone:502-348-1990
Mailing Address - Fax:502-348-1954
Practice Address - Street 1:319 CATHEDRAL MNR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-1246
Practice Address - Country:US
Practice Address - Phone:502-348-1990
Practice Address - Fax:502-348-1954
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37944207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000294651OtherANTHEM
KY64064538Medicaid
KY64064538Medicaid
KY0769701Medicare PIN