Individual
MELISSA ANN MIDDLEMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5701 W 119TH ST, STE. 220, OVERLAND PARK, KS 66209-3721
(913) 498-8787
(913) 498-1744
Mailing address
5701 W 119TH ST, STE. 220, OVERLAND PARK, KS 66209-3721
(913) 498-8787
(913) 498-1744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05-35234
KS
207R00000X
Internal Medicine Physician
2011025937
MO
208M00000X
Hospitalist Physician
Primary
05-35234
KS
208M00000X
Hospitalist Physician
2011025937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598929945
—
MO
05
—
200742350A
—
KS
Enumeration date
07/15/2008
Last updated
06/11/2014
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