Individual
MRS. MELODIE LEE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-8923
Mailing address
3952 BENJAMIN DR., CLARKSVILLE, TN 37040
(931) 338-2871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6085896
TN
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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