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Individual

DR. MELINDA RENEE MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-4454
Mailing address
221 N CELIA AVE, MUNCIE, IN 47303-4609

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11016179A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201090840
IN
01
P01252933
RR MEDICARE
IN
Enumeration date
06/14/2011
Last updated
05/12/2015
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