Provider Demographics
NPI:1538681598
Name:MEEKINS, KATHERINE MAXINE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MAXINE
Last Name:MEEKINS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MAXINE
Other - Last Name:STEEL-BEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:2119 HERBERT STREET
Mailing Address - Street 2:
Mailing Address - City:MURPHYSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62966
Mailing Address - Country:US
Mailing Address - Phone:270-331-4338
Mailing Address - Fax:419-251-1826
Practice Address - Street 1:2119 HERBERT STREET
Practice Address - Street 2:
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966
Practice Address - Country:US
Practice Address - Phone:270-331-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011342363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100483040Medicaid