Provider Demographics
NPI:1780913665
Name:DOWDEN-KRUGER, MELINDA MORNINGSTAR (BS, CWPM)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:MORNINGSTAR
Last Name:DOWDEN-KRUGER
Suffix:
Gender:F
Credentials:BS, CWPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 CHURCHILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475
Mailing Address - Country:US
Mailing Address - Phone:859-623-5096
Mailing Address - Fax:859-624-1611
Practice Address - Street 1:229 CHURCHILL DRIVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-623-5096
Practice Address - Fax:859-624-1611
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator