Jennifer Rebecca Mellick in Overland Park - Adolescent Medicine
Jennifer Rebecca Mellick - NPI 1093712903
Jennifer Rebecca Mellick is a Adolescent Medicine in Overland Park, Kansas. Jennifer Rebecca Mellick practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jennifer Rebecca Mellick is 1093712903. The last update date is 2011-12-07.
Jennifer Rebecca Mellick's current location address is 7301 W 133rd St, Overland Park, Kansas. You can contact this provider via phone number 9138884567 and fax number 9138881277. The mailing address for Jennifer Rebecca Mellick is 7301 W 133rd St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Rebecca Mellick |
|---|---|
| Address | 7301 W 133rd St, Overland Park, Kansas |
| Phone Number | 9138884567 |
| Fax Number | 9138881277 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093712903 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2011-12-07 |
Provider Mailing Address Detail
| Address | 7301 W 133rd St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662134750 |
| Phone Number | 9138884567 |
| Fax Number | 9138881277 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 04-30373 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33978014 | KS | BCBSKC PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Rebecca Mellick by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Rebecca Mellick has been assigned the NPI (National Provider Identifier) 1093712903. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jennifer Rebecca Mellick's physical address?
The Jennifer Rebecca Mellick is physically located at 7301 W 133Rd St, in the city of Overland Park, KS, with the postal code 662134750.
What is Jennifer Rebecca Mellick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Rebecca Mellick is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
When was the Jennifer Rebecca Mellick's 1093712903 issued?
The Jennifer Rebecca Mellick's 1093712903 was issued on 2005-07-07.
When was the information regarding Jennifer Rebecca Mellick most recently updated?
The details pertaining to the Jennifer Rebecca Mellick, including its address, specialty, and other relevant information, were last refreshed on 2011-12-07.
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