Individual
KELLY MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Mailing address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24023
WV
2084P0804X
Child & Adolescent Psychiatry Physician
24023
WV
Other
Enumeration date
01/04/2007
Last updated
12/17/2021
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