Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036127710 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301089871 | MI |
NPI | 1427254226 |
---|---|
Provider Name | Dr. Melinda Gail Abernethy |
First Address | Kalamazoo, MI 49008-1282 |
Second Address | Kalamazoo, MI 49008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 12/07/2018 |