Provider Demographics
NPI:1336642586
Name:MELIKER, KAYLIE G (PA-C)
Entity Type:Individual
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First Name:KAYLIE
Middle Name:G
Last Name:MELIKER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:110 OLD PADONIA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4949
Mailing Address - Country:US
Mailing Address - Phone:443-761-6570
Mailing Address - Fax:410-337-5134
Practice Address - Street 1:3401 BOX HILL CORPORATE CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1200
Practice Address - Country:US
Practice Address - Phone:410-836-8667
Practice Address - Fax:410-836-8996
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2023-05-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical