Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH GORDON MEYERS JR., NP
Active Sole ProprietorMR. KENNETH GORDON MEYERS JR., NP is a Program of All-Inclusive Care for the Elderly (PACE) healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1134899800 is currently active in the NPPES registry. Verify at CMS.
Program of All-Inclusive Care for the Elderly (PACE) · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1134899800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2021 (4.7235808852608 yrs)
- Last Updated
- Oct 8, 2024
- Licenses
-
0996511 (CO)0996511 (CO)0996511 (CO)0996511 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1605 N UNION BLVDCOLORADO SPRINGS, CO, 809092828Browse CO providers · Browse ZIP 80909
- Phone
- 7196353764
- Fax
- 7196357593
- Primary Specialty
-
Program of All-Inclusive Care for the Elderly (PACE)
251T00000X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Program of All-Inclusive Care for the Elderly (PACE)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.