| Doctor Name: | MELISSA NICOLE KIRK |
| NPI Number: | 1871652255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., C.D., C.D.E. |
| License Number: | DI00000860 |
| Business Practice Address: | 1044 11th Ave Longview, WA - 986322506 |
| Business Phone Number: | 3603539432 |
| Business Fax Number: | 3603539440 |
| Mailing Address: | Po Box 2429, LONGVIEW |
| State: | WA |
| Postal Code: | 986328486 |
| Phone Number: | 3603539432 |
| Fax Number: | 3603539440 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI00000860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |