Provider Demographics
NPI:1285905307
Name:MEYERS, KRISTIN KAY
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:KAY
Last Name:MEYERS
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 1:2510 E FRANKLIN ST
Mailing Address - Street 2:PO BOX 148
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-3753
Mailing Address - Country:US
Mailing Address - Phone:605-224-5811
Mailing Address - Fax:
Practice Address - Street 1:2510 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3753
Practice Address - Country:US
Practice Address - Phone:605-224-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)