Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 48748 | KY |
NPI | 1285814400 |
---|---|
Provider Name | Dr. Melanie Tirronen Farrell |
First Address | Owensboro, KY 42304-3229 |
Second Address | Owensboro, KY 42303-9811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 23/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201340150 | (05) | IN |
7100375360 | (05) | KY |