Individual
KYLE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W JACKSON ST, PENSACOLA, FL 32501-3915
(850) 602-3826
Mailing address
2904 E GADSDEN ST, PENSACOLA, FL 32503-6429
(850) 602-3826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA8525
FL
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
04/06/2014
Last updated
01/15/2019
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