Individual
DR. MELINDA A RONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8465
(913) 588-8529
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-35910
KS
207Q00000X
Family Medicine Physician
R5P55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-35910
KS LICENSE
KS
05
—
100163120E
—
KS
01
—
P01577911
RR MEDICARE
KS
01
—
R6P55
STATE LICENSE NUMBER
MO
Enumeration date
04/14/2006
Last updated
02/11/2016
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