Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2016014884 | MO |
Y | 111NI0900X | Internist | 2016014884 | MO |
N | 207RH0002X | Hospice and Palliative Medicine | 2015014884 | MO |
NPI | 1376557264 |
---|---|
Provider Name | Dr. Melissa A Gaines |
First Address | Kansas City, MO 64180-2843 |
Second Address | Springfield, MO 65807-7315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 20/05/2021 |