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NPI Code Detail

MEDICARE: KEVIN NEAL MELBY RPH

MEDICARE: KEVIN NEAL MELBY RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12784WI
2183500000XPharmacist115867MN

General Provider Information

NPI Number : 1235281833
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN NEAL MELBY RPH
Provider Business Mailing Address
First Line : 618 E 1ST ST
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-2202
Country : US
Telephone Number : 715-246-7736
Fax Number :
Provider Business Practice Location Address
First Line : 110 W 4TH ST
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-1722
Country : US
Telephone Number : 715-246-2186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ KEVIN NEAL MELBY RPH” Practice Location

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