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Individual

KEVIN NEAL MELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
110 W 4TH ST, NEW RICHMOND, WI 54017-1722
(715) 246-2186
Mailing address
618 E 1ST ST, NEW RICHMOND, WI 54017-2202
(715) 246-7736

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
115867
MN
183500000X
Pharmacist
Primary
12784
WI

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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