Provider Demographics
NPI:1386241800
Name:HITE, MELINDA RUTH
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:RUTH
Last Name:HITE
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 1:4531 GLENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-2911
Mailing Address - Country:US
Mailing Address - Phone:423-578-0248
Mailing Address - Fax:
Practice Address - Street 1:2006 E CENTER ST
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-2615
Practice Address - Country:US
Practice Address - Phone:423-288-7969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care