Provider Demographics
NPI:1770666075
Name:POPE, MELISA M (MD)
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:M
Last Name:POPE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5721 BARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-1913
Mailing Address - Country:US
Mailing Address - Phone:502-231-1144
Mailing Address - Fax:502-231-1508
Practice Address - Street 1:230 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-629-8990
Practice Address - Fax:502-394-3604
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-01-27
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Provider Licenses
StateLicense IDTaxonomies
KY28049208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics