Provider Demographics
NPI:1083908602
Name:MEKESA, MELISSA O'RYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:O'RYAN
Last Name:MEKESA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4750 HEMPSTEAD STATION DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5164
Mailing Address - Country:US
Mailing Address - Phone:800-875-0136
Mailing Address - Fax:937-619-4350
Practice Address - Street 1:1000 MCKINLEY PARK DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6399
Practice Address - Country:US
Practice Address - Phone:740-383-8700
Practice Address - Fax:937-619-4150
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-121848207P00000X
FLME149190207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine