Individual
JOHN T MELTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 N ELM ST, ANESTHESIA DEPARTMENT, HENDERSON, KY 42420-2783
(270) 827-7700
(270) 827-7469
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1033647
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337068
ANTHEM BC & BS
KY
05
—
74003377
—
KY
Enumeration date
02/17/2006
Last updated
02/14/2012
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