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Kimberly H Meyran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY MEYRAN.

Based on the most recent information from CMS, provider Kimberly H Meyran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:59 PM.

Profile Details

Provider ID
1477067312
Provider Type
Individual
Full Name
Meyran, Kimberly H
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/30/2017
Last Updated
1/14/2021

Contact Information

Practice Location

225 Baldwin Ave, Charlotte, NC 28204

(704) 376-1605

(704) 335-8448

Mailing Location

225 Baldwin Ave, Charlotte, NC 28204-3109

(704) 376-1605

(704) 335-8448

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 246667 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 246667 North Carolina

Kimberly H Meyran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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