Individual
MRS. MELVON MAKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RRT, AE-C
Contact information
Practice address
1415 W WHITE OAK ST, INDEPENDENCE, MO 64050-2590
(816) 235-3000
Mailing address
437 SE ASHTON DR, LEES SUMMIT, MO 64063-1059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021019907
MO
227900000X
Registered Respiratory Therapist
2004035404
MO
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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