Provider Demographics
NPI:1851457212
Name:MCKINLEY, MELANIE LOUISE (PA-C)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LOUISE
Last Name:MCKINLEY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10243 METZ VLY
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-4050
Mailing Address - Country:US
Mailing Address - Phone:512-965-1445
Mailing Address - Fax:
Practice Address - Street 1:2000 N MAYS ST
Practice Address - Street 2:SUITE 109
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2166
Practice Address - Country:US
Practice Address - Phone:254-285-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA2859363AM0700X
TXPA01247363AM0700X
UT13340978-1206363AM0700X
FLPA9119476363AM0700X
COPA0008841363AM0700X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical