Jennifer Rebecca Mellick M.D.

NPI 1093712903 - Pediatrics - 2080A0000X

NPI Details
NPI 1093712903
Gender Female
Enumeration Date 07/07/2005
Last Updated 12/07/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
7301 W 133RD ST
SUITE 102
OVERLAND PARK KS, 66213-4750, US
Phone (913) 888-4567
Fax (913) 888-1277
Business Location
7301 W 133RD ST
SUITE 102
OVERLAND PARK KS, 66213-4750, US
Phone (913) 888-4567
Fax (913) 888-1277
Toxanomy
Taxonomy Code 2080A0000X
License State Kansas
License Number 04-30373
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According to our database, Dr. Jennifer Rebecca Mellick M.D. NPI is 1093712903, taxonomy code is 2080A0000X and license number is 04-30373, license state is located at Kansas. Jennifer Rebecca Mellick M.D. physically located at 7301 W 133rd St, Overland Park KS, 66213-4750. NPI Number Jennifer Rebecca Mellick M.D. has the Individual type.

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1093712903 NPI number is provided on an as is basis without warranty of any kind. 1093712903 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Rebecca Mellick M.D. are for informational purposes only.