Individual
MRS. MELANIE LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
101 NW ENGLEWOOD RD, GLADSTONE, MO 64118-4063
(816) 313-2800
(816) 792-9819
Mailing address
6 VICTORY DR, LIBERTY, MO 64068-1973
(816) 313-2800
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
2000
KS
237600000X
Audiologist-Hearing Aid Fitter
Primary
2004017426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34245019
BCBS
MO
01
—
431857086
TAX ID #
MO
Enumeration date
05/08/2006
Last updated
01/29/2013
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