Individual
KELLY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-2842
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0615131
OH
Other
Enumeration date
07/29/2015
Last updated
12/06/2017
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