DR. Kevin Lyle Melicher, OD
NPI #1144257965 in Fargo, North Dakota
Provider Information
- NPI Number
- 1144257965
- Entity Type
- Individual
- Name
- DR. Kevin Lyle Melicher, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Jun 30, 2010
Practice Location
- Address
- 3902 13TH AVE SW
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-3357
- Phone
- (701) 282-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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