Provider Demographics
NPI:1053921338
Name:MEYERS, KALEY MARIE
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:MARIE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 QUARRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-4972
Mailing Address - Country:US
Mailing Address - Phone:330-235-3139
Mailing Address - Fax:
Practice Address - Street 1:2647 QUARRY VALLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-4972
Practice Address - Country:US
Practice Address - Phone:330-235-3139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2023-07-10
Deactivation Date:2023-05-19
Deactivation Code:
Reactivation Date:2023-07-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver