Individual
KENNETH MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190142A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71005004A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000888197
ANTHEM PROVIDER NUMBER
IN
05
—
201242480
—
IN
Enumeration date
03/11/2014
Last updated
02/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us