Provider Demographics
NPI:1811140502
Name:KYLER MEERS MSW LICSW, INC.
Entity type:Organization
Organization Name:KYLER MEERS MSW LICSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLER
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:MEERS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LICSW
Authorized Official - Phone:320-685-7158
Mailing Address - Street 1:29038 KEPLER CIR
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-9620
Mailing Address - Country:US
Mailing Address - Phone:320-685-7158
Mailing Address - Fax:320-685-4510
Practice Address - Street 1:29038 KEPLER CIR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:MN
Practice Address - Zip Code:56320-9620
Practice Address - Country:US
Practice Address - Phone:320-685-7158
Practice Address - Fax:320-685-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN420253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN031204002OtherPRIMEWEST
MN109952OtherUCARE
MN990991016222OtherPREFERRED ONE
MNHP26196OtherHEAALTHPARTNERS
MN6282442OtherMEDICA
MN8G757MEOtherBLUE CROSS BLUE SHIELD OF MINNESOTA
MN7835272-00Medicaid
MNXZG800714487OtherBLUE PLUS
MN990991016222OtherPREFERRED ONE