Provider Demographics
NPI:1821694936
Name:FRANKLIN, MELISSA KATHLEEN
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KATHLEEN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 ALPENGLOW DR
Mailing Address - Street 2:
Mailing Address - City:STAR VALLEY RANCH
Mailing Address - State:WY
Mailing Address - Zip Code:83127-5186
Mailing Address - Country:US
Mailing Address - Phone:952-250-7411
Mailing Address - Fax:
Practice Address - Street 1:168 US HIGHWAY 89 SUITE C
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:WY
Practice Address - Zip Code:83128
Practice Address - Country:US
Practice Address - Phone:307-226-4404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY37171100000X
MN1955171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist