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NPI Code Detail

MEDICARE: MELANIE KREISS PA-C

MEDICARE:   MELANIE  KREISS  PA-C
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
1363A00000XPhysician Assistant57386CA

General Provider Information

NPI Number : 1215573035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE KREISS PA-C
Provider Business Mailing Address
First Line : 2891 CHURN CREEK RD
Second Line :
City : REDDING
State : CA
Zip : 96002-1148
Country : US
Telephone Number : 530-221-6303
Fax Number :
Provider Business Practice Location Address
First Line : 2891 CHURN CREEK RD
Second Line :
City : REDDING
State : CA
Zip : 96002-1148
Country : US
Telephone Number : 530-221-6306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 05/19/2020

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Directions to “ MELANIE KREISS PA-C” Practice Location

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