Individual
MS. MELISSA A GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
206 S GRAND AVE, SAINT MARYS, KS 66536-1637
(785) 437-3734
(785) 437-6186
Mailing address
805 CEDAR TREE LN, ST MARYS, KS 66536-1873
(785) 437-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0530124
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456580A
—
KS
Enumeration date
01/23/2006
Last updated
10/29/2020
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