Melby, Kenneth

Melby, Kenneth is an individual health care provider with primary practice located at 2665 N Decatur Rd Suite 430, Decatur GA 30033-6149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Melby, Kenneth can be contacted via phone (404) 294-4018.

Contact Information

Primary practice address
2665 N Decatur Rd Suite 430 Decatur GA 30033-6149
Fax: (404) 294-9161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 26337 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 26337 Georgia

Profile Details

NPI number 1033299144
LBN Legal business name Melby, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jun 9th, 2014 - about 10 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 1033299144 NPPES
Georgia MEDICAID 000315169E
Georgia MEDICAID 000315169F
Georgia MEDICAID 000315169G

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