Individual
KAELEEN JUDITH MELHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 345, LAWRENCEVILLE, GA 30046-3374
(770) 963-2451
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN243824
GA
Other
Enumeration date
12/19/2020
Last updated
12/29/2020
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