Individual
MRS. MELANIE NICOLE PILKENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304-8788
(636) 498-5810
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004007502
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
656580
HEALTHLINK
MO
Enumeration date
07/12/2005
Last updated
01/12/2021
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