Provider Demographics
NPI:1932165602
Name:MEREDITH, TERRY FRANKLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:FRANKLIN
Last Name:MEREDITH
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 1:2120 CARTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7734
Mailing Address - Country:US
Mailing Address - Phone:606-329-8158
Mailing Address - Fax:606-329-1164
Practice Address - Street 1:2120 CARTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7734
Practice Address - Country:US
Practice Address - Phone:606-329-8158
Practice Address - Fax:606-329-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4852402OtherAETNA
KY000000048517OtherANTHEM
KY000000048517OtherANTHEM
KY000000048517OtherANTHEM