Individual
MRS. MELISSA ANN KOCOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
800 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 367-2131
(913) 674-2023
Mailing address
800 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
10KS1404
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10KS1404
CBRPA
KS
Enumeration date
05/11/2010
Last updated
04/14/2016
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