Melissa D Packwood in Louisville - Medical
Melissa D Packwood - NPI 1518963073
Melissa D Packwood is a Medical in Louisville, Kentucky. Melissa D Packwood practices all healthcare services and medical treatments related to Medical. The NPI Number for Melissa D Packwood is 1518963073. The last update date is 2020-12-07.
Melissa D Packwood's current location address is 3940 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5028951111 and fax number 5028951085. The mailing address for Melissa D Packwood is 3940 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Melissa D Packwood |
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Address | 3940 Dupont Cir, Louisville, Kentucky |
Phone Number | 5028951111 |
Fax Number | 5028951085 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1518963073 |
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Provider Enumeration Date | 2005-06-21 |
Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
Address | 3940 Dupont Cir |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 4020748060 |
Phone Number | 5028951111 |
Fax Number | 5028951085 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA760 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
600673930W | KY | HUMANA | |
701078 | KY | UNITED HEALTHCARE | |
50001576 | KY | PASSPORT | |
P00466690 | KY | RR MEDICARE | |
95003711 | KY | -- |
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What is the unique 10-digit identification code assigned to Melissa D Packwood by the Centers for Medicare & Medicaid Services?
The Melissa D Packwood has been issued the NPI (National Provider Identifier) 1518963073, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Melissa D Packwood?
The Melissa D Packwood is situated at 3940 Dupont Cir, in the city of Louisville, state of KY, with the zip code 4020748060.
What is the Melissa D Packwood's specialty and taxonomy code?
The Melissa D Packwood's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Melissa D Packwood receive the assignment of its 1518963073 from the Centers for Medicare & Medicaid Services?
The Melissa D Packwood was issued its 1518963073 by the Centers for Medicare & Medicaid Services on 2005-06-21.
As of what date was the information regarding Melissa D Packwood, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melissa D Packwood, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-07.
NPI Number: 1962405878
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