Individual
MS. MELISSA MARIE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CARRERA DR, LONDON, KY 40741-6303
(606) 657-2079
(818) 337-3798
Mailing address
87 WILDCAT LN, CORBIN, KY 40701-8950
(606) 261-5344
(818) 337-3798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100285080
—
KY
01
—
P01439783
RR MEDICARE
KY
01
—
PA1567
MEDICAL LICENSE
KY
Enumeration date
06/30/2009
Last updated
05/12/2025
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