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 |
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| Provider Name : | Dr. Jennifer Rebecca Mellick |
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| Credential : | M.D. |
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| Gender : | Female |
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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 |
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| Phone Number : | 913-888-4567 |
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| Fax Number : | 913-888-1277 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2005 |
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| Last Updated On : | 07 Dec, 2011 |
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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 | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 04-30373 | KS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Rebecca Mellick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 33978014 | Other | KS | BCBSKC 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 |
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| Phone Number : | 913-888-4567 |
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| Fax Number : | 913-888-1277 |
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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.