Kenneth Melby
Pulmonary Disease Critical Care Medicine
2665 N Decatur Rd Suite 430
Decatur
, Georgia 30033-6149
Kenneth Melby
Pulmonary Disease Critical Care Medicine
2665 N Decatur Rd Suite 430
Decatur
, Georgia 30033-6149
(404) 294-9161
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Kenneth Melby
- 2665 N Decatur Rd Suite 430
- Decatur, GA
- Zip : 30033-6149
- Fax : (404) 294-9161
- Phone : (404) 294-4018
Second Address
- Kenneth Melby
- 2665 N Decatur Rd Suite 430
- Decatur, GA
- Zip : 30033-6149
- Fax : (404) 294-9161
- Phone : (404) 294-4018
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 26337 | GA |
| Y | 207RP1001X | Pulmonary Disease | 26337 | GA |
National Provider Identifier
| NPI | 1033299144 |
|---|---|
| Provider Name | Kenneth Melby |
| First Address | Decatur, GA 30033-6149 |
| Second Address | Decatur, GA 30033-6149 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 09/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000315169E | (05) | GA |
| 000315169F | (05) | GA |
| 000315169G | (05) | GA |
| D30226 | (02) |
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.