Individual
MELAINA SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 E LINCOLN LN, GARDNER, KS 66030-3701
(913) 856-1369
Mailing address
710 W 43RD ST APT 1024, KANSAS CITY, MO 64111-3048
(816) 258-9353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02829
KS
363A00000X
Physician Assistant
2023038574
MO
363A00000X
Physician Assistant
AMD-1272
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-02829
STATE LICENSE
KS
01
—
2023038574
STATE LICENSE
MO
01
—
AMD-1272
STATE LICENSE
HI
Enumeration date
03/03/2022
Last updated
10/04/2023
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