Individual
MELISSA S METHVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8444 W 21ST ST N, WICHITA, KS 67205-1752
(316) 721-9500
(316) 721-9574
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01377
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200714580B
—
KS
Enumeration date
01/10/2008
Last updated
02/24/2015
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