Individual
MELANIE L LIVELY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9051 N E 81ST TERR, SUITE 100, KANSAS CITY, MO 64158
(816) 792-1170
(816) 792-3877
Mailing address
9051 N E 81ST TERR, SUITE 100, KANSAS CITY, MO 64158
(816) 792-1170
(816) 792-3877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110708
MO
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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