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Individual

MELANIE S BYRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
930 HAYES DRIVE, SUITE B, MANHATTAN, KS 66502
(785) 565-0016
(785) 565-0003
Mailing address
930 HAYES DRIVE, SUITE B, MANHATTAN, KS 66502
(785) 565-0016
(785) 565-0003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22333
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100119380B
KS
01
101142
BLUE CROSS BLUE SHIELD
KS
01
460855
CHILDRENS MERCY FAMILY HP
KS
Enumeration date
06/09/2005
Last updated
07/25/2013
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