Individual
MRS. KATHLEEN JO MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3324 KING EDWARDS CT, EUGENE, OR 97401-8513
(541) 687-8734
Mailing address
3324 KING EDWARDS CT, EUGENE, OR 97401-8513
(541) 687-8734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200341186
OR
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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