Individual
MRS. MELODY ANN POLANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8513
(270) 798-5895
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8513
(270) 798-5895
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1092798
KY
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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