Individual
MARY MELATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4688
(859) 301-2607
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-4688
(859) 301-2607
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01099852A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
62115
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
TP123
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
06/22/2026
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