Individual
MELINDA MARSHALL MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1125 OLD MAIN ST, HARTFORD, KY 42347-1617
(270) 256-9292
Mailing address
1125 OLD MAIN ST, HARTFORD, KY 42347-1617
(270) 256-9292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3015457
KY
363LF0000X
Family Nurse Practitioner
3015457
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/01/2021
Last updated
04/12/2021
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