Melissa Larae Clifton
Individual provider Active NPI Case Manager/Care Coordinator · Kettle Island, KY
NPI 1700510633 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1700510633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 159 Collett LN
Kettle Island, KY 40958-9003 - Phone
- (160) 626-9019
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
159 Collett LN
Kettle Island, KY 40958-9003
Mailing address
159 Collett LN
Kettle Island, KY 40958-9003
Phone (160) 626-9019
Other providers in Kettle Island, KY
- All Ears Early Intervention Services
- Cumberland Valley Dist. Health Dept.
- Leslie Kay Saylor
- Vip Counseling
- Vip Counseling LLC
All providers in Kettle Island, KY · Case Manager/Care Coordinator in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. 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.