NPI 1134899800

Kenneth Gordon Meyers, NP

Practitioner PACE Provider Organization Colorado Springs, CO

Practice location

Address: 1605 N Union Blvd, Colorado Springs, CO 80909-2828
Phone: (719) 635-3764
Fax: (719) 635-7593
Mailing address: 5935 Northwind Dr, Colorado Springs, CO 80918-4809

Registered specialties (4)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 0996511 (CO)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Colorado →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 0996511 (CO)

Other Nurse Practitioner providers in Colorado →

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 0996511 (CO)

Primary Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X Licence 0996511 (CO)

Registry record

NPI: 1134899800
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2021
Record last updated: 8 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.