Individual
MELANIE MRZLJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 E MAXWELL ST STE 201, LEXINGTON, KY 40508-2678
(859) 323-5533
(859) 257-2816
Mailing address
128 PHEASANT RUN, NICHOLASVILLE, KY 40356-8221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3109
KY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA3109
KY
363AS0400X
Surgical Physician Assistant
PA3109
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2022
Last updated
06/29/2023
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