Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0102201092 | VA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0102201092 | VA |
NPI | 1730145418 |
---|---|
Provider Name | Kevin David Meakin |
First Address | Portsmouth, VA 23707-0068 |
Second Address | Suffolk, VA 23434-4259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2006 |
Last Update Date | 05/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02199168 | (05) | NY |
040014768 | RAILROAD MEDICARE (01) | VA |
5841968 | (05) | VA |
89063C0 | (05) | NC |
H10157 | (02) |