KIMBERLY DIANNE MELTON (NPI# 1548808470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548808470 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIANNE MELTON |
| Credential | RD |
| Practice Address |
6531 Lapeer Rd Kimball MI 48074-1108 |
| Practice Telephone | 9898586915 |
| Mailing Telephone | 9898586915 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1201X | 808414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071435 | Kimberly Melton | Registered Nurse | 820 S Moorland Rd, Brookfield, WI 53005-6909 | 2020-01-05 |
| 1366810376 | Kimberly Melton | Social Worker | 175 Duperier Ave, New Iberia, LA 70563-2415 | 2015-09-08 |
| 1114238029 | Kimberly Sue Melton | Nurse Practitioner | 600 N Alabama St, Apartment 2305, Indianapolis, IN 46204-1403 | 2010-06-24 |
| 1194998534 | Kimberly Melton | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2008-04-07 |
| Street Address |
6531 LAPEER RD |
| City | KIMBALL |
| State | MI |
| Zip Code | 48074-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538036 | Marisa Robbi Dunlap | Behavior Technician | 631 Richman, 631 Richman, Smiths Creek, MI 48074 | 2019-09-30 |
| 1568930501 | Audrey Christine Hollen | Behavior Technician | 4652 Cloverdale Ln, Kimball, MI 48074 | 2018-11-07 |
| 1366894818 | Gaganjot Sandhu | Student in an Organized Health Care Education/Training Program | 16001 W. Nine Miler Road, Providence-providence Park Hospitals - Southfield, Southfield, MI 48074 | 2016-07-08 |
| 1912357526 | Ashlee Marie O'shell | Student in an Organized Health Care Education/Training Program | Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 | 2016-06-14 |
| 1730567371 | Scott J. Ferguson Dds & Associates Pllc | Dentist | 2837 Stable Drive, Ste A, Kimball, MI 48074 | 2015-05-15 |
| 1629387337 | Tamara Dawn Lynch | Veterinarian | 367 Wadhams Rd, Smiths Creek, MI 48074 | 2010-09-29 |
| 1932348737 | Lisa Marie Rottman Adamson | Physical Therapy Assistant | 1048 Broad Ax Lane, Kimball, MI 48074 | 2009-02-18 |
| 1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
| 1982701868 | Home Town Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5277 Lapeer Rd, Kimball, MI 48074 | 2006-09-20 |
| 1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
| Find all providers in zip 48074 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.