Provider Demographics
NPI:1730297854
Name:KIM, MELODY M (MD)
Entity type:Individual
Prefix:DR
First Name:MELODY
Middle Name:M
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6 WOODLAND RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-9501
Mailing Address - Country:US
Mailing Address - Phone:707-963-8802
Mailing Address - Fax:707-963-6328
Practice Address - Street 1:6 WOODLAND RD
Practice Address - Street 2:SUITE 302
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-9501
Practice Address - Country:US
Practice Address - Phone:707-963-8802
Practice Address - Fax:707-963-6328
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2021-12-07
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Provider Licenses
StateLicense IDTaxonomies
CAA612312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry