Individual
DR. KIMBERLY RACHEL MELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1787 GRAND RIDGE CT NE STE 101, GRAND RAPIDS, MI 49525
(616) 252-4540
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-3243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101022161
MI
208000000X
Pediatrics Physician
UO2117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005447600
—
FL
Enumeration date
05/19/2009
Last updated
02/05/2019
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