Provider Demographics
NPI:1902600026
Name:HARDIN, MELAINIE BROOKE
Entity type:Individual
Prefix:MRS
First Name:MELAINIE
Middle Name:BROOKE
Last Name:HARDIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-1725
Mailing Address - Country:US
Mailing Address - Phone:765-860-5116
Mailing Address - Fax:
Practice Address - Street 1:3509 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-1725
Practice Address - Country:US
Practice Address - Phone:765-860-5116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program