Individual
KAYLA MARIE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
406 W VOTAW ST, PORTLAND, IN 47371-1344
(765) 288-1928
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013574A
IN
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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