Individual
MELANIE KAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 5TH AVE STE 300, FORT WORTH, TX 76104-7303
(817) 250-5690
Mailing address
3333 N CALVERT ST STE 400, BALTIMORE, MD 21218-6501
(856) 371-8988
(410) 554-6768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA18597
TX
Other
Enumeration date
06/29/2017
Last updated
01/09/2025
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