Melissa L Moddrell in Kansas City - Surgical
Melissa L Moddrell - NPI 1376754044
Melissa L Moddrell is a Surgical in Kansas City, Kansas. Melissa L Moddrell practices all healthcare services and medical treatments related to Surgical. The NPI Number for Melissa L Moddrell is 1376754044. The last update date is 2023-04-20.
Melissa L Moddrell's current location address is 4000 Cambridge St, Kansas City, Kansas. You can contact this provider via phone number 9135885000 and fax number 3126951903. The mailing address for Melissa L Moddrell is 4000 Cambridge St, Kansas City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa L Moddrell |
|---|---|
| Address | 4000 Cambridge St, Kansas City, Kansas |
| Phone Number | 9135885000 |
| Fax Number | 3126951903 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376754044 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2023-04-20 |
Provider Mailing Address Detail
| Address | 4000 Cambridge St |
|---|---|
| City | Kansas City |
| State | Kansas (KS) |
| Post Code | 661603197 |
| Phone Number | 9135885000 |
| Fax Number | 3126951903 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 085-002953 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 085-002953 | IL | IL STATE LIC | |
| 15-02370 | KS | KANSAS STATE PA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa L Moddrell?
The Melissa L Moddrell has been issued the NPI (National Provider Identifier) 1376754044 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Melissa L Moddrell?
The Melissa L Moddrell is physically situated at 4000 Cambridge St, in the city of Kansas City, state of KS, with the postal code 661603197.
What is Melissa L Moddrell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melissa L Moddrell is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376754044 to Melissa L Moddrell?
The Centers for Medicare & Medicaid Services assigned the 1376754044 to Melissa L Moddrell on 2007-05-24.
When was the Melissa L Moddrell's information last updated?
The Melissa L Moddrell's information was last updated on 2023-04-20.
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