Keener, Melinda G

Keener, Melinda G is an individual health care provider with primary practice located at 263 Sw Professional Gln , Lake City FL 32025-1105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Keener, Melinda G can be contacted via phone (386) 755-6676.

Contact Information

Primary practice address
263 Sw Professional Gln Lake City FL 32025-1105
Phone: (386) 755-6676
Fax: (386) 755-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41693 Tennessee
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME105501 Florida

Profile Details

NPI number 1861615098
LBN Legal business name Keener, Melinda G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 18th, 2013 - about 11 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1861615098 NPPES
Tennessee MEDICAID PENDING
Tennessee MEDICAID PENDING

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