Dr. Jennifer Rebecca Mellick

M.D. | Pediatric Adolescent Medicine | Female

Dr. Jennifer Rebecca Mellick, M.D. is a Overland Park, Kansas based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of Dr. Jennifer Rebecca Mellick is 7301 W 133rd St, Suite 102, Overland Park, Kansas - 66213-4750. She can be contacted on phone at 913-888-4567 and fax number 913-888-1277. Dr. Jennifer Rebecca Mellick is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Rebecca Mellick is 1093712903 which was assigned by NPPES on 07 Jul, 2005 and it was last updated on 07 Dec, 2011. Dr. Jennifer Rebecca Mellick license number is 04-30373 for Pediatrics Adolescent Medicine (2080A0000X) in Kansas.
Dr. Jennifer Rebecca Mellick 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.
Complete Profile:
Dr. Jennifer Rebecca Mellick basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Dr. Jennifer Rebecca Mellick
Credential :M.D.
Gender :Female
Business Address:
Dr. Jennifer Rebecca Mellick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :7301 W 133rd St, Suite 102
Overland Park, KS, 66213-4750
United States
Phone Number :913-888-4567
Fax Number :913-888-1277
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1093712903
NPI Entity Type : Individual
First Enrolment Date : 07 Jul, 2005
Last Updated On : 07 Dec, 2011
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jennifer Rebecca Mellick are as mentioned. Primary taxonomy code for Dr. Jennifer Rebecca Mellick, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYes04-30373KS
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Rebecca Mellick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
33978014OtherKSBCBSKC PROVIDER NUMBER
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :7301 W 133rd St, Suite 102
Overland Park, KS, 66213-4750
United States
Phone Number :913-888-4567
Fax Number :913-888-1277
Business Location:
Patients can refer following map for directions to Dr. Jennifer Rebecca Mellick practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.