Provider Demographics
NPI:1942738190
Name:MEIKLEJOHN, KARLEEN MICHELLE (MD)
Entity type:Individual
Prefix:MS
First Name:KARLEEN
Middle Name:MICHELLE
Last Name:MEIKLEJOHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 V ST STE 1107
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1445
Mailing Address - Country:US
Mailing Address - Phone:916-734-5069
Mailing Address - Fax:916-734-0299
Practice Address - Street 1:4400 V ST STE 1107
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1445
Practice Address - Country:US
Practice Address - Phone:916-734-5069
Practice Address - Fax:916-734-0299
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2024-12-27
Deactivation Date:2018-01-05
Deactivation Code:
Reactivation Date:2021-04-20
Provider Licenses
StateLicense IDTaxonomies
CT67427207ZP0102X
AZR76158207ZP0102X
AZ62658207ZP0102X
CAA188163207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology