Individual
MR. KEVIN MELCHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1450 ALTA VISTA ST, DUBUQUE, IA 52001-4327
(563) 588-7408
(563) 557-4087
Mailing address
2940 BURLINGTON ST, DUBUQUE, IA 52001-0914
(563) 599-7910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00255
IA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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