| Mel Medic, Llc | |
|
1610 Washington Blvd Kansas City KS 66102-2842 | |
| (419) 631-0848 | |
| Not Available |
| Full Name | Mel Medic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1610 Washington Blvd, Kansas City, Kansas |
| Authorized Official Name and Position | Melanie Antoinette Miller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4196310848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mel Medic, Llc Po Box 512 Bonner Springs KS 66012-0512 Ph: () - | Mel Medic, Llc 1610 Washington Blvd Kansas City KS 66102-2842 Ph: (419) 631-0848 |
| NPI Number | 1902446420 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902446420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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