Provider Demographics
NPI:1679620850
Name:MEURET, KEVIN J (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:MEURET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1585 WOODLAKE DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5740
Mailing Address - Country:US
Mailing Address - Phone:314-205-8858
Mailing Address - Fax:314-205-1508
Practice Address - Street 1:1585 WOODLAKE DR
Practice Address - Street 2:SUITE 214
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5740
Practice Address - Country:US
Practice Address - Phone:314-205-8858
Practice Address - Fax:314-205-1508
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003006353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor