Individual
MELISSA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1223
(913) 588-5000
Mailing address
7237 PARK ST, SHAWNEE, KS 66216-3712
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
72906-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
08/19/2021
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