Kedrock, Mylene Melody
Kedrock, Mylene Melody is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kedrock, Mylene Melody can be contacted via phone (703) 776-4001.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024165793 | Virginia |
Profile Details
| NPI number | 1528052685 |
|---|---|
| LBN Legal business name | Kedrock, Mylene Melody |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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