Provider Demographics
NPI:1154204469
Name:MEYER, CALEB
Entity type:Individual
Prefix:MR
First Name:CALEB
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 GALVESTON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KS
Mailing Address - Zip Code:66078-9056
Mailing Address - Country:US
Mailing Address - Phone:785-304-1608
Mailing Address - Fax:
Practice Address - Street 1:110 GALVESTON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KS
Practice Address - Zip Code:66078-9056
Practice Address - Country:US
Practice Address - Phone:785-304-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program