Individual
ASHLEY DAWN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 NALL AVE STE 100, OVERLAND PARK, KS 66211-1244
(913) 338-5585
(913) 338-3228
Mailing address
10550 QUIVIRA RD STE 520, OVERLAND PARK, KS 66215-2307
(913) 319-9482
(913) 894-1330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01621
KS
363AS0400X
Surgical Physician Assistant
15-01621
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501621
KS LICENSE
KS
Enumeration date
08/14/2013
Last updated
01/30/2023
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