Healthcare Provider Details

I. General information

NPI: 1568835262
Provider Name (Legal Business Name): MELANIE L RININGER CSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 06/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

IV. Provider business mailing address

PO BOX 23229
OWENSBORO KY
42304-3229
US

V. Phone/Fax

Practice location:
  • Phone: 270-683-3720
  • Fax: 270-686-7331
Mailing address:
  • Phone: 270-683-3720
  • Fax: 270-686-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA300
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: