Kelley Courtney Meena, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-8079 Issued in AR

Practice address

605 Salem Rd Ste B2
Conway, AR 72034-4863

Phone

(501) 327-2444

Fax

(501) 327-2443

NPI assigned

Apr 12, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Courtney Meena Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Pediatrics, PLLC

  • Pediatrics Physician
  • Conway, AR
  • NPI 1649584038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1336465616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SALEM RD STE B2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344863",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SALEM RD STE B2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344863",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEENA",
        "first_name": "KELLEY",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-8079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MEENA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Conway, Oak St)
• Medgen Neuro
• Medic Rental Inc (Medic Sleep Care)
• Medical Park Primary Care, LLC
• Stefanie Gardner Meek, D.D.S.
• Carolyn Elaine Mehaffey, M.D.
• Brooke Meins, A.T.C.
• Romi Melancon
• Hsiang-Yun Sylvia Melton
• Tiffany Melton, PT, DPT

• Pediatrics Physician in Conway, AR
• Providers in Conway, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.