Individual
KIERAN MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 8TH ST, BERKELEY, CA 94710-2604
(510) 381-4542
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 299-5142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60942255
WA
Other
Enumeration date
01/14/2011
Last updated
07/19/2019
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