Healthcare Provider Details

I. General information

NPI: 1184509903
Provider Name (Legal Business Name): MELINDA KIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10751 SAVOY RD
NORTH CHESTERFIELD VA
23235-3651
US

IV. Provider business mailing address

11507 LYLWOOD LN
CHESTERFIELD VA
23838-5192
US

V. Phone/Fax

Practice location:
  • Phone: 804-560-2720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number0001174811
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: