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Individual

KYLE MELLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1562 MITSCHER AVE STE 250, NORFOLK, VA 23551-2423
(757) 836-5929
Mailing address
1562 MITSCHER AVE STE 250, NORFOLK, VA 23551-2423
(757) 836-5929

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102209591
VA
171000000X
Military Health Care Provider
Primary
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
0102209591
VA
208D00000X
General Practice Physician
0102209591
VA

Other

Enumeration date
03/25/2024
Last updated
04/21/2026
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