Individual
MELISSA PARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001816A
IN
363A00000X
Physician Assistant
10001816B
IN
363A00000X
Physician Assistant
Primary
PA 1018
KY
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495345
ANTHEM
KY
01
—
0154210001
MEDICARE DME
KY
05
—
300008411
—
IN
05
—
7100142670
—
KY
01
—
CA0303
RR MEDICARE
KY
Enumeration date
11/15/2006
Last updated
12/26/2018
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