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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER R MELLICK · (Female)

NPI Number 1093712903
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 12/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-30373
  • KS Other 33978014 BCBSKC PROVIDER NUMBER
Hospital affiliation(s) Not Available
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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