Melton, Karen Renee

Melton, Karen Renee is an sole proprietor health care provider with primary practice located at 620 Walton Dr , Farmington MO 63640-1981. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Melton, Karen Renee can be contacted via phone (573) 756-0500.

Contact Information

Primary practice address
620 Walton Dr Farmington MO 63640-1981
Phone: (573) 756-0500
Fax: (573) 756-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 113484 Missouri
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 001230 Missouri

Profile Details

NPI number 1366451916
LBN Legal business name Melton, Karen Renee
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Nov 20th, 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 1366451916 NPPES
Missouri Other 200216286 63640 0000 TRI-CARE
Missouri Other 200216286AUD TRI-CARE
Missouri Other 621859 TRI-CARE
Missouri Other 7035519 TRI-CARE
Missouri MEDICAID 338885437 TRI-CARE
Missouri Other 20-0216286 TRI-CARE
Missouri Other 45-00144 TRI-CARE
Missouri Other 193973 TRI-CARE

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