Individual
MELONIE C. KALNENIEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1040 MAIN ST, SPRINGFIELD, MA 01103-2107
(413) 739-1100
(413) 304-4672
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 304-4672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2319
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
MC0669789J
CONTROLLED SUBSTANCE REGISTRATION
MA
Enumeration date
06/05/2008
Last updated
03/07/2023
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