| Melissa Canchola, DC | |
|
14864 Metcalf Ave, Overland Park, KS 66223-2206 | |
| (913) 656-2255 | |
| Not Available |
| Full Name | Melissa Canchola |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 14864 Metcalf Ave, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164287397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-06312 (Kansas) | Primary |
| Provider Name | Performance Health Solutions |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578107850 PECOS PAC ID: 2860826294 Enrollment ID: O20191218001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Canchola, DC 15367 S Darnell St, Olathe, KS 66062-3355 Ph: (913) 215-3793 | Melissa Canchola, DC 14864 Metcalf Ave, Overland Park, KS 66223-2206 Ph: (913) 656-2255 |
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