Individual
MELODY KNIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 W FAIRMONT AVE, NEW CASTLE, PA 16105-1909
(833) 604-7212
(724) 202-7883
Mailing address
PO BOX 1549, BUTLER, PA 16003-1549
(724) 284-4060
(724) 202-7883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032079020001
—
PA
Enumeration date
01/14/2015
Last updated
08/31/2023
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