Individual ProviderKen W MeyerCounselorBehavioral Health & Social Service ProvidersPractice Address333 N Rancho Dr, Suite 130, Las Vegas, NV 89106-3797(702) 486-5062PECOS EnrollmentBased on the most recent information from CMS, provider Ken W Meyer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1699845560Provider TypeIndividualFull NameMeyer, Ken WTitleMr.CredentialLASWGenderMaleSole ProprietorYesEnumeration Date11/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address333 N Rancho Dr, Suite 130, Las Vegas, NV 89106-3797Phone(702) 486-5062Fax(702) 486-5029Mailing LocationMailing Address5612 Avenida Tampico, Las Vegas, NV 89108-4183Phone(702) 486-5062FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0503-ANevada