1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. KEITH-ALLEN LICYAYO MELONG MD
NPI 1295537454
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 26, 2025
653-1 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-0441 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith-allen Licyayo Melong Md NPPES

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

DR. KEITH-ALLEN LICYAYO MELONG MD (NPI 1295537454) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1295537454
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameDR. KEITH-ALLEN LICYAYO MELONGCredential: MD
Location Address653-1 W 8TH STJacksonville, FL 32209-6511
Mailing Address1301 Catherine StAnn Arbor, MI 48109-2026
Phone(904) 244-0441
Sole ProprietorYes
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1295537454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653-1 W 8TH ST, Jacksonville, FL 32209
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL CALVIN CANTRELL MD
Surgery
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1015
DR. ZOHAIB AHMED DMD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3689
DR. JONATHON CURTIS EDGY MD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3056
RAINA ANIL MODI
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-8846
JOSE RAMON RIVAS RIOS M.D.
Internal Medicine (Cardiovascular Disease)
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
ERIC XAVIER SANTIAGO VEGA
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (727) 241-9974
ALEXANDER BLACK
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. RICHARD GAMMILL DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-8846

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 Keith-allen Melong's NPI number?

The NPI number for Keith-allen Melong is 1295537454. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Keith-allen Melong located?

Keith-allen Melong practices at 653-1 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-0441.

What is Keith-allen Melong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keith-allen Melong was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.