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NPI Code Detail

MEDICARE: DR. MELISSA NUNTAPREDA KIRK MD

MEDICARE: DR. MELISSA NUNTAPREDA KIRK MD
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
1208100000XPhysical Medicine & Rehabilitation Physician2019032297MO
2208100000XPhysical Medicine & Rehabilitation Physician10102335-1205UT
3208100000XPhysical Medicine & Rehabilitation Physician27172NV

General Provider Information

NPI Number : 1235525072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA NUNTAPREDA KIRK MD
Provider Business Mailing Address
First Line : 879 N MAIN ST
Second Line :
City : RICHFIELD
State : UT
Zip : 84701-1840
Country : US
Telephone Number : 801-712-8253
Fax Number : 435-896-9564
Provider Business Practice Location Address
First Line : 6225 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2785
Country : US
Telephone Number : 801-712-8253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 04/23/2025

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