Individual
MELISSA N LEUENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
391 W TOM T HALL BLVD, OLIVE HILL, KY 41164-7688
(606) 286-8039
(606) 286-6108
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003705
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215836
BLUE CROSS
—
01
—
000000853026
ANTHEM
KY
01
—
1193300
CHA
—
05
—
3027567
—
OH
01
—
500024067
RAILROAD MEDICARE
—
05
—
78007127
—
KY
01
—
P01320945
RR MEDICARE
KY
Enumeration date
06/09/2006
Last updated
05/19/2015
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