Individual
MELISSA SUBLETT HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9702 STONESTREET ROAD, STE 100, LOUISVILLE, KY 40272-6809
(502) 588-0610
(502) 588-0611
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0610
(502) 588-0611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111450
—
IN
05
—
64304975
—
KY
Enumeration date
01/20/2006
Last updated
10/19/2020
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