Provider Demographics
NPI:1366040677
Name:KANET, MEREDITH KATELYN
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:KATELYN
Last Name:KANET
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 1:7887 WASHINGTON VILLAGE DR STE 350A
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3900
Mailing Address - Country:US
Mailing Address - Phone:937-910-4004
Mailing Address - Fax:
Practice Address - Street 1:7887 WASHINGTON VILLAGE DR STE 350A
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3900
Practice Address - Country:US
Practice Address - Phone:937-910-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily