Melody Anne Kimmey
Individual provider Active NPI Wound Care Registered Nurse · Camden, DE
NPI 1104512698 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1104512698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- License
- L1-0040104 (DE)
- Practice address
- 322 Captain Davis Dr
Camden, DE 19934-1748 - Phone
- (302) 598-8914
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0040104 | DE | MD | Wound Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | L1-0040104 | DE | Yes |
Addresses
Primary practice location
322 Captain Davis Dr
Camden, DE 19934-1748
Mailing address
322 Captain Davis Dr
Camden, DE 19934-1748
Phone (302) 598-8914
Other providers in Camden, DE
- Ted Johnson
- Alfonso Jones III
- Danielle Jones
- Elisa Marie White Kaiser
- Teresiah Kanyingi
- Ann M King
- Katherine King
- H. Diana Kopicko
- Sarah Kushner
- Tam Le
All providers in Camden, DE · Wound Care Registered Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.