Individual
MELISSA BLAND FLYNN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701
(270) 737-4808
(270) 737-4939
Mailing address
111 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701
(270) 737-4808
(270) 737-4939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
KY33919
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111485
BLUE CROSS
KY
01
—
1119213
PASSPORT
KY
05
—
64014327
—
KY
Enumeration date
05/12/2006
Last updated
07/08/2007
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