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Individual
DR. MELODY JAN KNEELAND
Active
Individual
DR. MELODY JAN KNEELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23555
SC
207Q00000X
Family Medicine Physician
Primary
28555
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285550
—
SC
01
—
PO1278181
RAILROAD MEDICARE
SC
01
—
SCL0766067
MEDICARE PIN
SC
01
—
SCL0766084
MEDICARE PIN
SC
01
—
SCL076J577
MEDICARE PIN
SC
Enumeration date
12/13/2006
Last updated
09/17/2021
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