Individual
MELISSA L CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15329 W 95TH ST, LENEXA, KS 66219-1262
(913) 599-1125
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122500
MO
Other
Enumeration date
09/27/2006
Last updated
12/04/2019
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