Melissa Ann Koonce , MS, ATC
Specialist • Bridgeton, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Melissa Koonce has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Melissa Koonce, MS, ATC was a registered Specialist practicing in Bridgeton, MO. Throughout an active medical career spanning 17 years, Melissa Koonce provided care at the practice location at 12277 DE PAUL DR STE 305 until profile deactivation on 2023-05-03.
Practice Location & Contact Primary Location
12277 De Paul Dr Ste 305
Bridgeton, MO 630442529
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Bridgeton, MO
Practicing in Bridgeton, MO (503 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
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Record deactivated on May 03, 2023
NPI status registered as active in NPPES database
Registered at 12277 DE PAUL DR STE 305, BRIDGETON, MO 630442529 (Tel: 3142913399)
Registered at 505 LOUISA AVE, DUPO, IL 622391407 (Tel: 6182864154)
Recorded as MELISSA KOONCE, MS, ATC
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
505 Louisa Ave
Dupo, IL 622391407
Phone: 6182864154
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