Individual
JAMIE S MEHL
Active
Individual
JAMIE S MEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
141134
MO
174400000X
Specialist
45278
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100417960B
—
KS
01
—
160793
RURAL MEDICARE
KS
01
—
500024493
RR MEDICARE
—
Enumeration date
05/12/2006
Last updated
11/29/2012
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