National Provider Identifier Database

JENNIFER R MELLICK, MD – NPI #1093712903
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JENNIFER R MELLICK, MD
7301 W 133RD ST
SUITE 102
OVERLAND PARK, KS66213-4750
Phone: 913-888-4567
Fax: 913-888-1277
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for JENNIFER R MELLICK

NPI Number 1093712903
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 12/07/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 04-30373
  • KS Other: 33978014 BCBSKC PROVIDER NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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