Melvin, Andrea R

Melvin, Andrea R is an individual health care provider with primary practice located at 2601 Kentucky Ave Ste 301, Paducah KY 42003-3817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Melvin, Andrea R can be contacted via phone (270) 575-3113.

Contact Information

Primary practice address
2601 Kentucky Ave Ste 301 Paducah KY 42003-3817
Phone: (270) 575-3113
Fax: (270) 575-3135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA802 Kentucky

Profile Details

NPI number 1336121433
LBN Legal business name Melvin, Andrea R
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 25th, 2008 - about 16 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 1336121433 NPPES
Kentucky MEDICAID 9500390100
Kentucky Other 000000512695
Kentucky Other 862893

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