Packwood, Melissa D

Packwood, Melissa D is an individual health care provider with primary practice located at 3940 Dupont Cir , Louisville KY 40207-4806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Packwood, Melissa D can be contacted via phone (502) 895-1111.

Contact Information

Primary practice address
3940 Dupont Cir Louisville KY 40207-4806
Phone: (502) 895-1111
Fax: (502) 895-1085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA760 Kentucky

Profile Details

NPI number 1518963073
LBN Legal business name Packwood, Melissa D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Dec 7th, 2020 - about 6 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 1518963073 NPPES
Kentucky Other 600673930W HUMANA
Kentucky Other 0701078 HUMANA
Kentucky Other 50001576 HUMANA
Kentucky Other P00466690 HUMANA
Kentucky MEDICAID 95003711 HUMANA

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