Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD2012-0147 | NM |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | TP642 | KY |
NPI | 1902066020 |
---|---|
Provider Name | Dr. Kate Vellenga Meriwether |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-5700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 27/08/2015 |