Organization
PEDIATRIC PARTNERS,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R MELLICK M.D. (CEO)
(913) 888-4567
Entity
Organization
Contact information
Practice address
7301 W 133RD ST, SUITE 102, OVERLAND PARK, KS 66213-4750
(913) 888-4567
(913) 888-1277
Mailing address
7301 W 133RD ST, SUITE 102, OVERLAND PARK, KS 66213-4750
(913) 888-4567
(913) 888-1277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0517101
KS
Other
Enumeration date
11/09/2006
Last updated
10/24/2013
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