Individual
KEVIN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 301-2211
Mailing address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 301-2211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100274
KY
Other
Enumeration date
01/07/2014
Last updated
02/17/2014
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