Dr. Jennifer Rebecca Mellick
Adolescent Medicine
7301 W 133rd St Suite 102
Overland Park
, Kansas 66213-4750
Dr. Jennifer Rebecca Mellick
Adolescent Medicine
7301 W 133rd St Suite 102
Overland Park
, Kansas 66213-4750
(913) 888-1277
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Jennifer Rebecca Mellick
- 7301 W 133rd St Suite 102
- Overland Park, KS
- Zip : 66213-4750
- Fax : (913) 888-1277
- Phone : (913) 888-4567
Second Address
- Dr. Jennifer Rebecca Mellick
- 7301 W 133rd St Suite 102
- Overland Park, KS
- Zip : 66213-4750
- Fax : (913) 888-1277
- Phone : (913) 888-4567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 04-30373 | KS |
National Provider Identifier
| NPI | 1093712903 |
|---|---|
| Provider Name | Dr. Jennifer Rebecca Mellick |
| First Address | Overland Park, KS 66213-4750 |
| Second Address | Overland Park, KS 66213-4750 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 07/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 33978014 | BCBSKC PROVIDER NUMBER (01) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.