Basic Information
Provider Information
NPI: 1922447952
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOWNSEND
FirstName: MELANIE
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 909
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402010909
CountryCode: US
TelephoneNumber: 5025880325
FaxNumber:  
Practice Location
Address1: 401 E CHESTNUT ST UNIT 170
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402025701
CountryCode: US
TelephoneNumber: 5025833687
FaxNumber: 5025887840
Other Information
ProviderEnumerationDate: 06/24/2013
LastUpdateDate: 03/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X2013017876MON Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000XME134951FLN Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000XTP654KYY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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