Kory M Melin in Coal Valley - General Practice

Kory M Melin - NPI 1538203575

Kory M Melin is a General Practice in Coal Valley, Illinois. Kory M Melin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kory M Melin is 1538203575. The last update date is 2012-04-24.

Kory M Melin's current location address is 508 E 15th Avenue Ct, Coal Valley, Illinois. You can contact this provider via phone number 3097997370. The mailing address for Kory M Melin is 508 E 15th Avenue Ct, Coal Valley, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kory M Melin
Address 508 E 15th Avenue Ct, Coal Valley, Illinois
Phone Number 3097997370
Fax Number
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1538203575
Provider Enumeration Date 2007-02-15
Last Updated Date 2012-04-24

Provider Mailing Address Detail

Address 508 E 15th Avenue Ct
City Coal Valley
State Illinois (IL)
Post Code 612409154
Phone Number 3097997370
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19.023972
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kory M Melin

What is the unique provider identifier assigned to Kory M Melin?

The Kory M Melin has been issued the NPI (National Provider Identifier) 1538203575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Kory M Melin is located?

The Kory M Melin is situated at the following address: 508 E 15Th Avenue Ct, Coal Valley, IL, 612409154.

What is Kory M Melin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kory M Melin is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538203575 to Kory M Melin?

The Centers for Medicare & Medicaid Services originally issued the 1538203575 to Kory M Melin on 2007-02-15.

As of what date was the information pertaining to Kory M Melin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kory M Melin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-24.

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