NPI 1215945613

Kevin Melchert, ATC

Practitioner Athletic Trainer Dubuque, IA

Practice location

Address: 1450 Alta Vista St, Dubuque, IA 52001-4327
Phone: (563) 588-7408
Fax: (563) 557-4087
Mailing address: 2940 Burlington St, Dubuque, IA 52001-0914

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 00255 (IA)

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Registry record

NPI: 1215945613
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.