Most Relevant Information
Provider Data
| NPI Number: | 1003330499 |
| Provider Name: | MELANIE MARIE KLOCKNER CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 20172682 |
Most Important Dates
| Enumeration Date: | 07/27/2017 |
| Last Updated: | 03/03/2021 |
Provider Practice Location
5480 NORQUEST BLVD
AUSTINTOWN
OH
445151820
Practice Location Phone/Fax
| Phone: | 3307790529 |
| Fax: |
Provider Mailing Location
1 PERKINS SQ
AKRON
OH
443081063
Provider Mailing Phone/Fax
| Phone: | 3307790529 |
| Fax: | 3307970403 |