person
Melissa D Packwood, PA
Medical Physician Assistant in Louisville, Kentucky
NPI 1518963073

Melissa D Packwood is a Medical Physician Assistant based in Louisville, KY and is specialized in Medical. Melissa D Packwood practices in Louisville, KY and has the professional credentials of PA. The NPI Number for Melissa D Packwood is 1518963073 and holds a License No. PA760 (Kentucky).

The current practice location address for Melissa D Packwood is 3940 Dupont Cir, Louisville, KY and can be reached out via phone at 502-895-1111 and via fax at 502-895-1085.

Location: 3940 Dupont Cir, Louisville, KY, 40223-5132
person
Provider Profile Details
NPI Number
1518963073
Provider Name
Melissa D Packwood
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3940 Dupont Cir, Louisville, KY, 40223-5132
Phone Number
502-895-1111
Fax Number
502-895-1085
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600673930W 01 KY HUMANA
0701078 01 KY UNITED HEALTHCARE
50001576 01 KY PASSPORT
P00466690 01 KY RR MEDICARE
95003711 05 KY
institution
Provider Business Practice Location Address Details
Address
3940 Dupont Cir
City
State
Zip
40207-4806
Phone Number
502-895-1111
Fax Number
502-895-1085
person
Provider Business Mailing Address Details
Address
3940 Dupont Cir
City
State
Zip
40207-4806
Phone Number
502-895-1111
Fax Number
502-895-1085
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA760 (Kentucky)
Definition
Definition to come...
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