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Individual
KIRSTEN JEGSEN MELCHER
Active
Individual
KIRSTEN JEGSEN MELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
259
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04449401
—
HI
01
—
100003331-02
UNIVERSITY HEALTH ALLIANC
HI
01
—
A4968-2
HMSA QUEST PROV. NUMBER
HI
01
—
B003
TRICARE FOR LIFE
HI
01
—
P00074485
RAILROAD MEDICARE
HI
Enumeration date
11/16/2006
Last updated
07/09/2007
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