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KELLY M LIENEKE LMT
NPI 1043583289
Specialist in Melbourne, FL

Active since February 20, 2012
6300 N WICKHAM RD STE 116, MELBOURNE, FL 32940(321) 757-6899(321) 757-6859 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly M Lieneke Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY M LIENEKE LMT (NPI 1043583289) is an individual specialist in Melbourne, Florida, licensed in Florida (MA55378) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1043583289
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY M LIENEKECredential: LMT
Location Address6300 N WICKHAM RD STE 116Melbourne, FL 32940-2023
Mailing Address3206 S Hopkins Ave # 19Titusville, FL 32780-5667 · (321) 757-6899 · Fax (321) 757-6859
Phone(321) 757-6899
Fax(321) 757-6859
Sole ProprietorYes
Enumeration DateFebruary 20, 2012
✔ NPI 1043583289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · MA55378
Definition
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.
6300 N WICKHAM RD STE 116, Melbourne, FL 32940
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA SEAVER LMT
Specialist
6300 N WICKHAM RD STE 116
MELBOURNE, FL 32940
Brevard County (321) 757-6899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lieneke's NPI number?

The NPI number for Kelly Lieneke is 1043583289. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Kelly Lieneke located?

Kelly Lieneke practices at 6300 N Wickham Rd Ste 116, Melbourne, FL 32940. The listed phone number is (321) 757-6899.

What is Kelly Lieneke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Lieneke was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.