Individual
TAMMY MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1425 FORD HAMPTON RD, WINCHESTER, KY 40391-8093
(859) 644-7071
Mailing address
1425 FORD HAMPTON RD, WINCHESTER, KY 40391-8093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2047331
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY
2047331
—
Enumeration date
09/04/2019
Last updated
09/04/2019
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