Individual
MRS. MELISSA H CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 BEAVER DAM RD, LEITCHFIELD, KY 42754-9086
(270) 879-6059
(270) 879-8117
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01948
FIRST STEPS PROVIDER ID
KY
05
—
1790731081
—
KY
Enumeration date
05/29/2007
Last updated
07/02/2020
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