Provider Demographics
NPI:1538347208
Name:MEYER, KATHERINE KLAR (DC)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:KLAR
Last Name:MEYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-0547
Mailing Address - Country:US
Mailing Address - Phone:406-287-3217
Mailing Address - Fax:406-287-3217
Practice Address - Street 1:511 W LEGION AVE
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759-0547
Practice Address - Country:US
Practice Address - Phone:406-287-3217
Practice Address - Fax:406-287-3217
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT04058-1OtherBC/BS PIN