| Doctor Name: | MELISSA KELLEY |
| NPI Number: | 1033509039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | L-56780 |
| Business Practice Address: | 211 Saint Francis Dr Cape Girardeau, MO - 637035049 |
| Business Phone Number: | 5733315480 |
| Business Fax Number: | |
| Mailing Address: | 211 Saint Francis Dr, CAPE GIRARDEAU |
| State: | MO |
| Postal Code: | 637035049 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2015 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | L-56780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |