Dr. Kenneth James Mello
Endodontist
12528 Warwick Blvd Suite D
Newport News
, Virginia 23606-2676
Dr. Kenneth James Mello
Endodontist
12528 Warwick Blvd Suite D
Newport News
, Virginia 23606-2676
(757) 595-6858
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Kenneth James Mello
- 12528 Warwick Blvd Suite D
- Newport News, VA
- Zip : 23606-2676
- Fax : (757) 595-6858
- Phone : (757) 595-0000
Second Address
- Dr. Kenneth James Mello
- 12528 Warwick Blvd Suite D
- Newport News, VA
- Zip : 23606-2676
- Fax : (757) 595-6858
- Phone : (757) 595-0000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 0401005719 | VA |
National Provider Identifier
| NPI | 1124145198 |
|---|---|
| Provider Name | Dr. Kenneth James Mello |
| First Address | Newport News, VA 23606-2676 |
| Second Address | Newport News, VA 23606-2676 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.