Individual
DR. JAIME R MELEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 BLUFFVIEW ST, STE 112, WICHITA, KS 67218-3039
(316) 688-0321
(316) 688-0728
Mailing address
1431 BLUFFVIEW ST, STE 112, WICHITA, KS 67218-3039
(316) 688-0321
(316) 688-0728
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0417617
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000022
BCBS
KS
05
—
100092950A
—
KS
01
—
480940604
TAXI ID #
KS
Enumeration date
07/05/2005
Last updated
07/08/2007
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