Individual
MELISSA NICOLE KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
276 FIELDSTONE DR, JONESVILLE, VA 24263-1215
(276) 546-5310
(276) 546-5469
Mailing address
276 FIELDSTONE DR, JONESVILLE, VA 24263-1215
(276) 546-5310
(276) 546-5469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50386
TN
208000000X
Pediatrics Physician
50386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010797
—
TN
Enumeration date
05/18/2007
Last updated
01/19/2016
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